Prairie St. John'S, Llc

LBN: Prairie St. John'S, Llc
Prairie St. John'S, Llc is an health care organization with primary practice located at 510 4Th St. South , Fargo ND 58103. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Prairie St. John'S, Llc can be contacted via phone (401) 478-7517, or through Eide, Thomas via phone (701) 476-7200.

Contact Information

Primary practice address
510 4Th St. South Fargo ND 58103
Fax: (701) 478-7524
Website:
Authorized official contact:
Name: Eide, Thomas

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 597-1-1-08A North Dakota

Profile Details

NPI number 1366681918
LBN Legal business name Prairie St. John'S, Llc
DBA Doing business as
Authorized official Eide, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2009
Last updated Feb 5th, 2009 - about 15 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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