PRAIRIE ST. JOHNS; NPI #1235260993

Contact Information

PRAIRIE ST. JOHNS

11610 WAYZATA BLVD
MINNETONKA, MN 55305-2009

Phone: 952-230-9180
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for PRAIRIE ST. JOHNS

NPI Number 1235260993

LBN Legal business name PRAIRIE ST. JOHNS

Authorized official GINA KINNAMON - (EXECUTIVE ASSISTANT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

14993

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PRAIRIE ST. JOHNS

Contact Information

Specialty

Children

NPI Profile & details for PRAIRIE ST. JOHNS

Reviews for PRAIRIE ST. JOHNS