National Provider Identifier Database

PRAIRIE COMMUNITY SERVICES
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

PRAIRIE COMMUNITY SERVICES
801 NEVADA AVE
MORRIS, MN56267-1865
Phone: 320-589-3077
Fax: 320-589-2543
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for PRAIRIE COMMUNITY SERVICES

NPI Number 1235209909
Legal business name
LBN
PRAIRIE COMMUNITY SERVICES
Authorized official SHERRY WAGNER - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 11/09/2006
Last updated 03/18/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 830576-1-RS
  • MN Medicaid: 527025100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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