Organization Name: | PRAIRIE REHABILITATION SERVICES, INC. |
NPI Number: | 1902892409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE S GLASOE (ADMINISTRATOR) |
Mailing Address: | 1720 S Cliff Ave Sioux Falls |
State: | SD US |
Postal Code: | 571052129 |
Phone Number: | 6053345630 |
Fax Number: | 6053325327 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 08/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 022510002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |