Prairie Clinic LLC
NPI #1740992676 in Springfield, Colorado
Provider Information
- NPI Number
- 1740992676
- Entity Type
- Organization
- Organization Name
- Prairie Clinic LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 22, 2022
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 172 WEST 1ST
- City
- Springfield
- State
- Colorado
- ZIP Code
- 81073-8107
- Phone
- (719) 691-4488
Authorized Official
- Name
- TENNILLE ANN RAU, FNP-C
- Title
- LLC MEMBER/MEDICAL PROVIDER
- Phone
- (719) 691-4642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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