Prairie Community Services in Morris - Intermediate Care Facility, Mental Illness
Prairie Community Services - NPI 1164591095
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 1164591095. 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 | 1164591095 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| 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 | 801045-1-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 |
|---|---|---|---|
| 382045900 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1164591095 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Prairie Community Services located?
The Prairie Community Services is located at 801 Nevada Ave, Morris, MN 562671865.
What is the area of specialization for Prairie Community Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Prairie Community Services is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 310500000X.
On what date did the Prairie Community Services receive the assignment of its 1164591095 from the Centers for Medicare & Medicaid Services?
The Prairie Community Services was issued its 1164591095 by the Centers for Medicare & Medicaid Services on 2006-11-07.
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.