NPIMap

Organization Active NPI

Prairie Surgicenter LLP

  • Ambulatory Surgical Clinic/Center
  • Morris, MN
National Provider Identifier
1053411280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
5887419 Issued in MN
Legal business name
PRAIRIE SURGICENTER LLP
Practice address
24 E 7TH St
Suite 100
Morris, MN 56267-1312
Phone
(320) 208-1818
Fax
(320) 208-1845
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John F Stock, M.D.
Title
President
Phone
(320) 208-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 5887419 MN Primary

Addresses

Primary practice location

24 E 7TH St
Suite 100
Morris, MN 56267-1312

Mailing address

24 E 7TH St
Suite 100
Morris, MN 56267-1312

Other identifiers 5

IdentifierTypeStateIssuer
01044878OtherPREF ONE ASC#
9N64PROtherMNBLUE CROSS ASC #
136444OtherUCARE ASC#
6800060OtherMEDICA ASC#
111322OtherHEALTHPARTNERS ASC#

National Provider Directory

National Provider Directory

Locations

24 E 7th St
Ste 100
Morris, MN 56267
Phone (320) 208-1818

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053411280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E 7TH ST",
            "address_2": "SUITE 100",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E 7TH ST",
            "address_2": "SUITE 100",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671312",
            "telephone_number": "320-208-1818",
            "fax_number": "320-208-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE SURGICENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-208-1818",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "5887419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF ONE ASC#",
            "identifier": "01044878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ASC #",
            "identifier": "9N64PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE ASC#",
            "identifier": "136444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA ASC#",
            "identifier": "6800060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS ASC#",
            "identifier": "111322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.