Prairier St John'S
LBN: Prairier St John'S
Prairier St John'S is an health care organization with primary practice located at 510 4Th St S , Fargo ND 58103-1914. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Prairier St John'S can be contacted via phone (710) 476-7863, or through Howard, Christopher via phone (701) 476-7863.
Contact Information
Primary practice address
510 4Th St S
Fargo ND 58103-1914
Phone: (710) 476-7863
Fax: (615) 312-5711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | North Dakota |
Profile Details
| NPI number | 1588998090 |
|---|---|
| LBN Legal business name | Prairier St John'S |
| DBA Doing business as | |
| Authorized official | Howard, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2009 |
| Last updated | Sep 30th, 2009 - about 16 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 | 1588998090 | NPPES |
| North Dakota | MEDICAID | 11051 |
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