Prairie Community Services

LBN: Prairie Community Services
Prairie Community Services is an health care organization with primary practice located at 256 Lake Ave N , Spicer MN 56288-9512. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, 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
256 Lake Ave N Spicer MN 56288-9512
Phone: (320) 589-3077
Fax: (320) 589-2543
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Sherry
Phone: (320) 589-4902

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 808004-1-RS Minnesota

Profile Details

NPI number 1467530501
LBN Legal business name Prairie Community Services
DBA Doing business as
Authorized official Wagner, Sherry
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467530501 NPPES
Minnesota MEDICAID 107522500

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