Prairie Learning Center
Organization Active NPI Substance Abuse Rehabilitation Facility · Raleigh, ND
NPI 1124146980 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124146980
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- PRAIRIE LEARNING CENTER
- Practice address
- 7785 Saint Gertrude Ave
Raleigh, ND 58564-4103 - Phone
- (701) 597-3419
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Susan Koch
- Title
- Finance Manager
- Phone
- (701) 597-3419
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Prairie Learning Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
7785 Saint Gertrude Ave
Raleigh, ND 58564-4103
Mailing address
7785 Saint Gertrude Ave
Raleigh, ND 58564-4103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50605 | Medicaid | ND |
Other providers in Raleigh, ND
- Alyssa Kadrmas
- Marcie Ann Kahl
- Aimee Kemmet
- Amanda M McMahon
- Tara Jean Mindt
- Prairie Learning Center
- Prairie Learning Center
- Kayla Schelske
- Richelle Schmaltz
- Holly Lo Ann Steckler
All providers in Raleigh, ND · Substance Abuse Rehabilitation Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.