Prairie Community Services in Morris - Intermediate Care Facility, Mental Illness
Prairie Community Services - NPI 1285704049
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 1285704049. 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 | 1285704049 |
|---|---|
| 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 | 800115-2-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 |
|---|---|---|---|
| 632245000 | MN | -- |
Post Comment/ Review Below
What is the Prairie Community Services's unique identification number?
The Prairie Community Services has been assigned the NPI (National Provider Identifier) Number 1285704049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Prairie Community Services's physical address?
The Prairie Community Services is physically located at 801 Nevada Ave, in the city of Morris, MN, with the postal 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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285704049 to Prairie Community Services?
The Centers for Medicare & Medicaid Services originally issued the 1285704049 to Prairie Community Services on 2006-11-09.
When was the information pertaining to Prairie Community Services most recently updated or revised?
The details related to Prairie Community Services, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-18.