Prairie St. John'S
LBN: Psj Acquisition Llc
Prairie 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 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Psj Acquisition Llc can be contacted via phone (701) 476-7800, or through Filton, Steve via phone (610) 768-3300.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | North Dakota | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | North Dakota |
Profile Details
| NPI number | 1720454267 |
|---|---|
| LBN Legal business name | Psj Acquisition Llc |
| DBA Doing business as | Prairie St. John'S |
| Authorized official | Filton, Steve |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Aug 19th, 2015 - about 10 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 | 1720454267 | NPPES |
| Minnesota | MEDICAID | 99725100 | |
| Minnesota | MEDICAID | 11051 |
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