NPIMap

Organization Active NPI

Prairie Harvest Mental Health

  • Community/Behavioral Health Agency
  • Grand Forks, ND
National Provider Identifier
1447865100
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRAIRIE HARVEST MENTAL HEALTH
Practice address
930 N 3Rd St
Grand Forks, ND 58203-2408
Phone
(701) 795-9143
Fax
(701) 772-5560
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Rebecca Vakoc
Title
Cfo
Phone
(701) 795-9143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

930 N 3Rd St
Grand Forks, ND 58203-2408

Mailing address

930 N 3Rd St
Grand Forks, ND 58203-2408
Phone (701) 795-9143

National Provider Directory

National Provider Directory

Locations

930 N 3rd St
Grand Forks, ND 58203
Phone (701) 795-9143

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1447865100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N 3RD ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032408",
            "telephone_number": "701-795-9143",
            "fax_number": "701-772-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N 3RD ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032408",
            "telephone_number": "701-795-9143",
            "fax_number": "701-772-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HARVEST MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "VAKOC",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-795-9143"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.