Prairie Acupuncture and Natural Healing Center, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1071 Issued in MN

Legal business name

PRAIRIE ACUPUNCTURE AND NATURAL HEALING CENTER, INC.

Practice address

1502 Broadway
Wheaton, MN 56296-1041

Phone

(320) 563-1000

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Vicky Lynn Radel

Title

Ceo

Phone

(320) 563-1000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1043458466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 BROADWAY",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BROADWAY",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961041",
            "telephone_number": "320-563-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ACUPUNCTURE AND NATURAL HEALING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "RADEL",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-563-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Wheaton, MN
• Providers in Wheaton, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.