Prairie Community Services in Morris - Intermediate Care Facility, Mental Illness
Prairie Community Services - NPI 1902976764
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 1902976764. 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 | 1902976764 |
|---|---|
| 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 | 802854-1-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 |
|---|---|---|---|
| 773545600 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Prairie Community Services by the Centers for Medicare & Medicaid Services?
The Prairie Community Services has been issued the NPI (National Provider Identifier) 1902976764. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Prairie Community Services?
The Prairie Community Services is situated at 801 Nevada Ave, in the city of Morris, state of MN, with the zip code 562671865.
What is Prairie Community Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prairie Community Services's area of specialization is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 310500000X.
When was the Prairie Community Services's 1902976764 issued?
The Prairie Community Services's 1902976764 was issued on 2006-11-09.
As of what date was the information regarding Prairie Community Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prairie Community Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-18.