| Organization Name: | PRAIRIE LAKES HEALTHCARE SYSTEM INC. |
| NPI Number: | 1700822293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E ANDERSON (CFO) |
| Mailing Address: | 450 Eastvold Ave Ortonville |
| State: | MN US |
| Postal Code: | 562781252 |
| Phone Number: | 6058827000 |
| Fax Number: | 6058827606 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 03/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |