Provider Demographics
NPI:1578369070
Name:PRAIRIE LAKES HEALTH CARE SYSTEM INC
Entity type:Organization
Organization Name:PRAIRIE LAKES HEALTH CARE SYSTEM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-882-7000
Mailing Address - Street 1:PO BOX 1210
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-6210
Mailing Address - Country:US
Mailing Address - Phone:605-882-7000
Mailing Address - Fax:605-882-7636
Practice Address - Street 1:111 1ST AVE N
Practice Address - Street 2:
Practice Address - City:CASTLEWOOD
Practice Address - State:SD
Practice Address - Zip Code:57223
Practice Address - Country:US
Practice Address - Phone:605-882-7000
Practice Address - Fax:605-882-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty