Prairie St. John'S Clinic in Fargo - Counseling

Prairie St. John'S Clinic - NPI 1518059690

Prairie St. John'S Clinic is a Counseling in Fargo, North Dakota. Prairie St. John'S Clinic practices all healthcare services and medical treatments related to Counseling. The NPI Number for Prairie St. John'S Clinic is 1518059690. The last update date is 2020-08-22.

Prairie St. John'S Clinic's current location address is 510 4th St S, Fargo, North Dakota. You can contact this provider via phone number 7014767221 and fax number 7014767261. The mailing address for Prairie St. John'S Clinic is 510 4th St S, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prairie St. John'S Clinic
Address 510 4th St S, Fargo, North Dakota
Phone Number 7014767221
Fax Number 7014767261
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Magnison W Jerry
Credentials CFO
Telephone Number 7014767221

NPI Number Detail

NPI Number 1518059690
Provider Enumeration Date 2006-09-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 510 4th St S
City Fargo
State North Dakota (ND)
Post Code 581031914
Phone Number 7014767221
Fax Number 7014767261

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No 5063A
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
238T5PR MN MINNESOTA BLUE CROSS

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FAQs about Prairie St. John'S Clinic

What is the unique identification code assigned to Prairie St. John'S Clinic by the Centers for Medicare & Medicaid Services?

The Prairie St. John'S Clinic has been issued the NPI (National Provider Identifier) 1518059690. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Prairie St. John'S Clinic is located?

The Prairie St. John'S Clinic is situated at the following address: 510 4Th St S, Fargo, ND, 581031914.

What is the Prairie St. John'S Clinic's area of specialization and corresponding taxonomy classification?

The Prairie St. John'S Clinic's specialty field is Counseling, and it falls under the taxonomy code 103Tc1900X, which categorizes healthcare providers based on their specialties.

On what date did the Prairie St. John'S Clinic receive its 1518059690 assignment from the Centers for Medicare & Medicaid Services?

The Prairie St. John'S Clinic was assigned its 1518059690 by the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date were the Prairie St. John'S Clinic's details last updated?

The information pertaining to the Prairie St. John'S Clinic, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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