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PRAIRIE CLINIC LLC
NPI 1740992676
Clinic/Center - Primary Care in Springfield, CO

Active since December 22, 2022CLIA 06D2291005 · Waiver
172 WEST 1ST, SPRINGFIELD, CO 81073(719) 691-4488 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Oct 19, 2023, Dec 22, 2022 (3 updates tracked since 2022).

About Prairie Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE CLINIC LLC (NPI 1740992676) is a healthcare organization registered as a primary care in Springfield, Colorado and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Tennille Ann Rau, Llc Member/medical Provider, as its authorized official.

NPPES Registry Identity

NPI1740992676
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRAIRIE CLINIC LLC
Location Address172 WEST 1STSpringfield, CO 81073-8107
Mailing Address172 West 1stSpringfield, CO 81073-9716 · (719) 691-4488
Phone(719) 691-4488
Organization SubpartNo
Authorized OfficialTennille Ann RauLlc Member/medical Provider · (719) 691-4642
Enumeration DateDecember 22, 2022
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1740992676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
172 WEST 1ST, Springfield, CO 81073
Open in Google Maps ↗

Other Identifiers 1

Other1114384138CO · Npi 1

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 06D2291005

Prairie Clinic LLC · Springfield, CO
Active · expires Oct 3, 2027
CLIA Number06D2291005
Laboratory TypePractitioner Other
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorAnn R. Tennille
Laboratory Phone(719) 691-4488
Laboratory LocationPrairie Clinic LLC172 West 1st Street, Springfield, CO 81073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinic LLC's NPI number?

The NPI number for Prairie Clinic LLC is 1740992676. It was assigned to this organization in the NPPES registry on December 22, 2022.

Where is Prairie Clinic LLC located?

Prairie Clinic LLC is located at 172 West 1st, Springfield, CO 81073. The listed phone number is (719) 691-4488.

What is Prairie Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Prairie Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2291005) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Clinic LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.