PRAIRIE ST. JOHNS (NPI# 1235260993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235260993 |
| Entity Type | Organization |
| Organization Name | PRAIRIE ST. JOHNS |
| Practice Address |
11610 Wayzata Blvd Minnetonka MN 55305-2009 |
| Mailing Address |
110 W Grant St Apt 9j Minneapolis MN 55403-2311 |
| Practice Telephone | 9522309180 |
| Mailing Telephone | 6129401546 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. GINA KINNAMON (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 7014767208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
14993 | MN | Hospitals |
| Street Address |
11610 WAYZATA BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497027593 | Kenneth Fred Swaiman | General Acute Care Hospital | 1821 University Ave W, N-188, Saint Paul, MN 55104-2801 | 2012-02-03 |
| 1922315811 | Minneapolis Childrens Hospital | General Acute Care Hospital | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-09-13 |
| 1114230943 | Emilie Goodyear | General Acute Care Hospital | 420 Delaware St Se, Mmc 493, Minneapolis, MN 55455-0341 | 2010-07-21 |
| 1609091388 | Child and Adolescent Behavioral Health Services | General Acute Care Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-04-16 |
| 1740325885 | Gillette Childrens Specialty Healthcare | General Acute Care Hospital | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-02-20 |
| 1871636522 | Shriners Hospitals for Children | General Acute Care Hospital | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-02-14 |
| 1881793750 | Childrens Health Care | General Acute Care Hospital | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on PRAIRIE ST. JOHNS.
| 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.