| Organization Name: | PRAIRIE COMMUNITY HEALTH, INC. |
| NPI Number: | 1437221504 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILLIE RAE PERSON (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 2006 Main Street Eagle Butte |
| State: | SD US |
| Postal Code: | 57625 |
| Phone Number: | 6059647920 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |