Organization Active NPI

The Prairie Centre for the Family LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marshall, MN
National Provider Identifier
1821293101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1046409-1-CDT Issued in MN
Legal business name
THE PRAIRIE CENTRE FOR THE FAMILY LLC
Practice address
800 E Main St
Marshall, MN 56258-2573
Phone
(507) 532-2715
Fax
(507) 532-2678
NPI assigned
Jun 18, 2007
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
Mr. Clayton Ronald Houff Sr., LAMFT, LADC
Title
Owner
Phone
(507) 532-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1046409-1-CDT MN Primary

Addresses

Primary practice location

800 E Main St
Marshall, MN 56258-2573

Mailing address

800 E Main St
Marshall, MN 56258-2573
Phone (507) 532-2715

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821293101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582573",
            "telephone_number": "507-532-2715",
            "fax_number": "507-532-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582573",
            "telephone_number": "507-532-2715",
            "fax_number": "507-532-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRAIRIE CENTRE FOR THE FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUFF",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-532-2715",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LAMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1046409-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, 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.