Prairie St. John'S Clinic
LBN: Prairie St. John'S Clinic
Prairie St. John'S Clinic is an health care organization with primary practice located at 7616 Currell Blvd Suite 100, Saint Paul MN 55125-2290. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty.
Prairie St. John'S Clinic can be contacted via phone (651) 259-9700, or through Magnison, Jerry W via phone (701) 476-7221.
Contact Information
Primary practice address
7616 Currell Blvd Suite 100
Saint Paul MN 55125-2290
Phone: (651) 259-9700
Fax: (651) 259-9740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 5063A | North Dakota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5063A | North Dakota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 5063A | North Dakota |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 5063A | North Dakota |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 5063A | North Dakota |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 5063A | North Dakota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 5063A | North Dakota |
Profile Details
| NPI number | 1518059690 |
|---|---|
| LBN Legal business name | Prairie St. John'S Clinic |
| DBA Doing business as | |
| Authorized official | Magnison, Jerry W CFO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518059690 | NPPES |
| Minnesota | Other | 238T5PR | MINNESOTA BLUE CROSS |
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