| Prairie Family Healthcare, P.c. | |
|
1115 E 5th Ave Mitchell SD 57301-2917 | |
| (605) 996-5553 | |
| (605) 996-1213 |
| Full Name | Prairie Family Healthcare, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 1115 E 5th Ave, Mitchell, South Dakota |
| Authorized Official Name and Position | Diane Lynn Kenkel (PRESIDENT) |
| Authorized Official Contact | 6059965553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Family Healthcare, P.c. 1115 E 5th Ave Mitchell SD 57301-2917 Ph: (605) 996-5553 | Prairie Family Healthcare, P.c. 1115 E 5th Ave Mitchell SD 57301-2917 Ph: (605) 996-5553 |
| NPI Number | 1962648287 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962648287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CP000190 (South Dakota) | Primary |
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