Fresh Start Pcs

LBN: Prairie Community Services
Fresh Start Pcs is an health care organization with primary practice located at 1610 E 1St St , Duluth MN 55812-1650. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Prairie Community Services can be contacted via phone (218) 724-2945, or through Wagner, Sherry L via phone (320) 589-4919.

Contact Information

Primary practice address
1610 E 1St St Duluth MN 55812-1650
Phone: (218) 724-2945
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Sherry L
Phone: (320) 589-4919

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X FBL-21674-37286 Minnesota
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 1060122-1-RMI Minnesota

Profile Details

NPI number 1578808663
LBN Legal business name Prairie Community Services
DBA Doing business as Fresh Start Pcs
Authorized official Wagner, Sherry L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 30th, 2012
Last updated Jul 24th, 2013 - about 11 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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