Prairie Community Services in Morris - Intermediate Care Facility, Mental Illness

Prairie Community Services - NPI 1144390816

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 1144390816. 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 1144390816
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 801779-1-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
763245200 MN --

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FAQs about Prairie Community Services

What is the unique identifier code issued to Prairie Community Services by the Centers for Medicare & Medicaid Services?

The Prairie Community Services has been assigned the NPI (National Provider Identifier) 1144390816. This 10-digit code serves as a unique identification number for healthcare providers issued 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 area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Prairie Community Services is Intermediate Care Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 310500000X.

When did Prairie Community Services receive its 1144390816 assignment?

The Prairie Community Services was assigned its 1144390816 on 2006-11-09, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Prairie Community Services last refreshed?

The information related to the Prairie Community Services, including its address, specialty, and other relevant details, was last updated on 2011-03-18.

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