NPIMap

Organization Active NPI

Prairie Community Services

  • Intellectual Disabilities Intermediate Care Facility
  • North Mankato, MN
National Provider Identifier
1891195608
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
PRAIRIE COMMUNITY SERVICES
Practice address
2203 Rolling Green LN
North Mankato, MN 56003-4459
Phone
(507) 779-7187
Fax
(507) 779-7186
NPI assigned
Aug 28, 2014
Organization subpart
Yes
Parent organization
ST, FRANCIS HEALTH SERVICES OF MORRIS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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) 589-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

2203 Rolling Green LN
North Mankato, MN 56003-4459

Mailing address

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

Other names 1

  • Rollingwood Doing business as

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": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1891195608",
    "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": "320-589-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 ROLLING GREEN LN",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560034459",
            "telephone_number": "507-779-7187",
            "fax_number": "507-779-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST, FRANCIS HEALTH SERVICES OF MORRIS INC",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-589-4919"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rollingwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.