Prairie Ridge

LBN: Prairie Ridge Integrated Behavioral Healthcare
Prairie Ridge is an health care organization with primary practice located at 320 N Eisenhower Ave , Mason City IA 50401-1521. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Prairie Ridge Integrated Behavioral Healthcare can be contacted via phone (641) 424-2391, or through Hansen, Jay via phone (641) 424-2391.

Contact Information

Primary practice address
320 N Eisenhower Ave Mason City IA 50401-1521
Phone: (641) 424-2391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Jay
Phone: (641) 424-2391

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1201 Iowa
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 1201 Iowa
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1201 Iowa
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1201 Iowa

Profile Details

NPI number 1952443632
LBN Legal business name Prairie Ridge Integrated Behavioral Healthcare
DBA Doing business as Prairie Ridge
Authorized official Hansen, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 25th, 2017 - about 8 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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