Prairie Learning Center

LBN: Prairie Learning Center
Prairie Learning Center is an health care organization with primary practice located at 7785 Saint Gertrude Ave , Raleigh ND 58564-4103. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Prairie Learning Center can be contacted via phone (701) 597-3479, or through Koch, Susan via phone (701) 597-3419.

Contact Information

Primary practice address
7785 Saint Gertrude Ave Raleigh ND 58564-4103
Phone: (701) 597-3479
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koch, Susan
Phone: (701) 597-3419

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1154405983
LBN Legal business name Prairie Learning Center
DBA Doing business as
Authorized official Koch, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1154405983 NPPES
North Dakota MEDICAID 50605

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