Prairie Community Services in Morris - Intermediate Care Facility, Mental Illness
Prairie Community Services - NPI 1154491918
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 1154491918. 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 |
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Address | 801 Nevada Ave, Morris, Minnesota |
Phone Number | 3205893077 |
Fax Number | 3205892543 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CFO |
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Authorized Official Name | Wagner Sherry |
Telephone Number | 3205894902 |
NPI Number Detail
NPI Number | 1154491918 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
Address | 801 Nevada Ave |
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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 |
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Taxonomy | 310500000X |
Licence No | 808634-1-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 |
---|---|---|---|
954025300 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1154491918 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Prairie Community Services is located?
The Prairie Community Services is situated at the following address: 801 Nevada Ave, Morris, MN, 562671865.
What is Prairie Community Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Prairie Community Services is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 310500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154491918 to Prairie Community Services?
The Centers for Medicare & Medicaid Services assigned the 1154491918 to Prairie Community Services on 2006-11-09.
As of what date were the details related to Prairie Community Services most recently updated or revised?
The information pertaining to Prairie Community Services, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY