Prairie Community Services in Morris - Intermediate Care Facility, Intellectual Disabilities
Prairie Community Services - NPI 1467530501
Prairie Community Services is a Intermediate Care Facility, Intellectual Disabilities in Morris, Minnesota. Prairie Community Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Prairie Community Services is 1467530501. The last update date is 2011-03-18.
Prairie Community Services's current location address is 801 Nevada Ave Ste 100, Morris, Minnesota. You can contact this provider via phone number 3205894902 and fax number 3205892543. The mailing address for Prairie Community Services is 801 Nevada Ave Ste 100, Morris, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Community Services |
|---|---|
| Address | 801 Nevada Ave Ste 100, Morris, Minnesota |
| Phone Number | 3205894902 |
| 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 | 1467530501 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
| Address | 801 Nevada Ave Ste 100 |
|---|---|
| City | Morris |
| State | Minnesota (MN) |
| Post Code | 562671874 |
| Phone Number | 3205894902 |
| Fax Number | 3205892543 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 808004-1-RS |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107522500 | MN | -- |
Post Comment/ Review Below
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) 1467530501. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Prairie Community Services located?
The Prairie Community Services is located at 801 Nevada Ave Ste 100, Morris, MN 562671874.
What is Prairie Community Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prairie Community Services's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467530501 to Prairie Community Services?
The Centers for Medicare & Medicaid Services assigned the 1467530501 to Prairie Community Services on 2006-11-02.
When was the information regarding Prairie Community Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Prairie Community Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-18.