Prairie Community Services

LBN: Prairie Community Services
Prairie Community Services is an health care organization with primary practice located at 801 Nevada Ave , Morris MN 56267-1865. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Prairie Community Services can be contacted via phone (320) 589-3077, or through Wagner, Sherry via phone (320) 589-4902.

Contact Information

Primary practice address
801 Nevada Ave Morris MN 56267-1865
Fax: (320) 589-2543
Website:
Authorized official contact:
Name: Wagner, Sherry

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 800711-1-RS Minnesota

Profile Details

NPI number 1093885857
LBN Legal business name Prairie Community Services
DBA Doing business as
Authorized official Wagner, Sherry
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 9th, 2006
Last updated Mar 18th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093885857 NPPES
Minnesota MEDICAID 653245400

Popular Providers