PRAIRIE PINES COMMUNITY; NPI #1407268642

Contact Information

PRAIRIE PINES COMMUNITY

903 PRAIRE PINES DRIVE
FOSSTON, MN 56542

Phone: 218-435-7682
Fax: 701-364-8476
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for PRAIRIE PINES COMMUNITY

NPI # 1407268642

LBN Legal business name PRAIRIE PINES COMMUNITY

Authorized official KIM BODENSTEINER - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/22/2014

Last updated 10/01/2021 - About 5 years ago

Identifiers

License #

364748

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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