NPIMap

Organization Active NPI

Prairie Comminity Services

  • Intellectual Disabilities Intermediate Care Facility
  • Morris, MN
National Provider Identifier
1659459774
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
808635-1-RS Issued in MN
Legal business name
PRAIRIE COMMINITY SERVICES
Practice address
801 Nevada Ave
Morris, MN 56267-1865
Phone
(320) 589-3077
Fax
(320) 589-2543
NPI assigned
Nov 2, 2006
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. FRANCIS HEALTH SERVICES OF MORRIS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Sherry Wagner
Title
Cfo
Phone
(320) 589-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 808635-1-RS MN Primary

Addresses

Primary practice location

801 Nevada Ave
Morris, MN 56267-1865

Mailing address

801 Nevada Ave
Morris, MN 56267-1865
Phone (320) 589-3077

Other identifiers 1

IdentifierTypeStateIssuer
1133250000MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Prairie Community Services18 organizations share this tax ID, including this one
Part of
St Francis Health Services of Morris Inc

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1659459774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NEVADA AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671865",
            "telephone_number": "320-589-3077",
            "fax_number": "320-589-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NEVADA AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671865",
            "telephone_number": "320-589-3077",
            "fax_number": "320-589-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COMMINITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. FRANCIS HEALTH SERVICES OF MORRIS, INC",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-589-4902"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "808635-1-RS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133250000",
            "state": "MN"
        }
    ],
    "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 Mar 18, 2011; 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.