PRAIRIE VIEW MEDICAL CLINIC
NPI 1508635772
Clinic/Center - Primary Care in Brookings, SD
About Prairie View Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAIRIE VIEW MEDICAL CLINIC (NPI 1508635772) is a healthcare organization registered as a primary care in Brookings, South Dakota and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Jennifer Olson, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 43D2301313
Prairie View Medical Clinic · Brookings, SDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prairie View Medical, Prof. LLC's NPI number?
The NPI number for Prairie View Medical, Prof. LLC is 1508635772. It was assigned to this organization in the NPPES registry on December 28, 2023. The provider is doing business as Prairie View Medical Clinic.
Where is Prairie View Medical, Prof. LLC located?
Prairie View Medical, Prof. LLC is located at 3405 6th St Ste 5, Brookings, SD 57006. The listed phone number is (605) 695-6712.
What is Prairie View Medical, Prof. LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Prairie View Medical, Prof. LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D2301313) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Prairie View Medical, Prof. LLC accept?
Health plans from Avera Health Plans, Medica and Sanford Health Plan list Prairie View Medical, Prof. LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Prairie View Medical, Prof. LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prairie View Medical Clinic · NPI 1508635772
Primary Care organization in Brookings, South Dakota. Organization record, active in the CMS NPPES registry since December 28, 2023.
## Identity
- **NPI:** 1508635772 (Entity type: Organization)
- **Enumerated:** December 28, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Prairie View Medical, Prof. Llc
- **Organization subpart:** No
- **Authorized official:** Jennifer Olson, PRESIDENT/CEO
## Practice location
- **Address:** 3405 6TH ST STE 5, Brookings, SD 57006-4401
- **Phone:** (605) 695-6712
## Record status
- **NPPES last updated:** April 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508635772) · Data from the CMS NPPES public registry.