PRAIRIE COMMUNITY SERVICES (NPI# 1093885857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093885857 |
| Entity Type | Organization |
| Organization Name | PRAIRIE COMMUNITY SERVICES |
| Practice Address |
801 Nevada Ave Morris MN 56267-1865 |
| Practice Telephone | 3205893077 |
| Practice Fax Number | 3205892543 |
| Mailing Telephone | 3205893077 |
| Mailing Fax Number | 3205892543 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | SHERRY WAGNER (CFO) |
| Authorized Official Telephone | 3205894902 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. FRANCIS HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 800711-1-RS | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 653245400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1124336862 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave Ste 100, Morris, MN 56267-1874 | 2010-09-15 |
| 1467530501 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 256 Lake Ave N, Spicer, MN 56288-9512 | 2006-11-02 |
| 1578808663 | Prairie Community Services | Community Based Residential Treatment Facility, Mental Illness | 1610 E 1st St, Duluth, MN 55812-1650 | 2012-11-30 |
| 1902976673 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1285704049 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1902976764 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1336219195 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1154491918 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1891865564 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| Street Address |
801 NEVADA AVE |
| City | MORRIS |
| State | MN |
| Zip Code | 56267-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265481386 | West Wind Village | Home Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-05-08 |
| 1811063167 | Patricia Kussatz | Technician | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-28 |
| 1902976673 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1285704049 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1902976764 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1336219195 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1154491918 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1891865564 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1235209909 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1144390816 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
| 1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
| 1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
| 1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
| 1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
| 1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
| 1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
| 1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
| Find all providers in zip 56267 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704049 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1902976764 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1154491918 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1144390816 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1164591095 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665056 | Divine House II Inc. | Intermediate Care Facility, Mental Illness | 1508 15th St Sw, Willmar, MN 56201-3968 | 2020-10-07 |
| 1316121858 | Seasons Adult Foster Care | Intermediate Care Facility, Mental Illness | 310 Wisconson Ave Se, Staples, MN 56479 | 2007-12-19 |
| 1316155237 | Opportunity Manor Inc | Intermediate Care Facility, Mental Illness | 1311 13th Ave Se, Saint Cloud, MN 56304-1913 | 2007-05-21 |
| 1962528075 | A.b.l.e., Inc. | Intermediate Care Facility, Mental Illness | 105 W Elm St, Houston, MN 55943-8678 | 2007-03-21 |
| 1174649297 | A.b.l.e., Inc. | Intermediate Care Facility, Mental Illness | 1700 Lancer Blvd, La Crescent, MN 55947-1624 | 2007-03-21 |
| 1063565398 | Southside Care Center | Intermediate Care Facility, Mental Illness | 2644 Aldrich Ave S, Minneapolis, MN 55408-1307 | 2007-01-19 |
| 1952466195 | Residential Advantages, Inc | Intermediate Care Facility, Mental Illness | 1708 N Garden St, New Ulm, MN 56073-1556 | 2006-12-27 |
| 1104980366 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 3807 W Broadway Ave, Robbinsdale, MN 55422-2207 | 2006-12-21 |
| 1922162759 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 3801 W Broadway Ave, Robbinsdale, MN 55422-2207 | 2006-12-19 |
| 1770646366 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 14850 75th Ave N, Maple Grove, MN 55311-2624 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.