Prairie Community Services in Morris - Intermediate Care Facility, Mental Illness
Prairie Community Services - NPI 1093885857
Prairie Community Services is a Intermediate Care Facility, Mental Illness in Morris, Minnesota. Prairie Community Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Prairie Community Services is 1093885857. The last update date is 2011-03-18.
Prairie Community Services's current location address is 801 Nevada Ave, Morris, Minnesota. You can contact this provider via phone number 3205893077 and fax number 3205892543. The mailing address for Prairie Community Services is 801 Nevada Ave, Morris, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Community Services |
|---|---|
| Address | 801 Nevada Ave, Morris, Minnesota |
| Phone Number | 3205893077 |
| Fax Number | 3205892543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Wagner Sherry |
| Telephone Number | 3205894902 |
NPI Number Detail
| NPI Number | 1093885857 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
| Address | 801 Nevada Ave |
|---|---|
| City | Morris |
| State | Minnesota (MN) |
| Post Code | 562671865 |
| Phone Number | 3205893077 |
| Fax Number | 3205892543 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 800711-1-RS |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 653245400 | MN | -- |
Post Comment/ Review Below
What is the Prairie Community Services's 1093885857?
The Prairie Community Services's NPI (National Provider Identifier) Number is 1093885857. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Prairie Community Services is physically located?
The Prairie Community Services is physically situated at the following address: 801 Nevada Ave, Morris, MN, 562671865.
What is Prairie Community Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prairie Community Services's specialized field of practice is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 310500000X.
On what date did the Prairie Community Services receive the assignment of its 1093885857 from the Centers for Medicare & Medicaid Services?
The Prairie Community Services was issued its 1093885857 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date was the information pertaining to Prairie Community Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Prairie Community Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-18.