PRAIRIE COMMUNITY SERVICES (NPI# 1467530501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467530501 |
Entity Type | Organization |
Organization Name | PRAIRIE COMMUNITY SERVICES |
Practice Address |
256 Lake Ave N Spicer MN 56288-9512 |
Mailing Address |
801 Nevada Ave Ste 100 Morris MN 56267-1874 |
Practice Telephone | 3205893077 |
Practice Fax Number | 3205892543 |
Mailing Telephone | 3205894902 |
Mailing Fax Number | 3205892543 |
Enumeration Date | 2006-11-02 |
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 OF MORRIS, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 808004-1-RS | MN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 107522500 | 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 |
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 |
1093885857 | 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 |
256 LAKE AVE N |
City | SPICER |
State | MN |
Zip Code | 56288-9512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962557587 | Mark Arnold Bloomquist | Dentist | 315 Access Dr, Spicer, MN 56288 | 2007-01-24 |
1689723942 | Susan Kay Zanin | Psychologist | 15130 57th St Ne, Spicer, MN 56288 | 2007-01-09 |
1548706369 | Rebecca Ann Reichard | Counselor | 215 Milky Way Street South, Cosmos, MN 56288 | 2017-01-18 |
1922263441 | Focus Chiropractic & Wellness | Clinic/Center | 180 Progress Way, Spicer, MN 56288-0053 | 2008-07-24 |
1821202359 | Paynesville Area Hospital District | Clinic/Center | 300 Highway 23, Suite 4, Spicer, MN 56288-4607 | 2007-05-10 |
1639791932 | Peterson Wellness Clinic P.a. | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
1083236384 | Zachary Leland Peterson | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
1326660622 | Brooke Sara Peterson | Chiropractor | 194 Progress Way, Spicer, MN 56288-5000 | 2020-05-11 |
1841686359 | Kirby M. Johnson, D.d.s., LLC | Clinic/Center | 301 Highway 23, Suite 2, Spicer, MN 56288-8001 | 2015-04-10 |
1033553169 | Katie Marie Ross | Pharmacist | 5260 128th Ave Ne, Spicer, MN 56288-8419 | 2013-04-19 |
Find all providers in zip 56288 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
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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.