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Contact Information

PRAIRIE ACRES
201 E. 15TH STREET
FRIONA, TX79035
 Phone: 806-250-3922
 Fax: 806-250-2132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PRAIRIE ACRES

NPI # 1912982083
LBN Legal business name PRAIRIE ACRES
Authorized official NICHOLE BRISTER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2005
Last updated 04/09/2009 - About 17 years ago
Identifiers
TX License # 107250
TX License # 111644
TX License # 125044
TX License # 126276
TX Medicaid 000509501
TX Medicaid 001001908
TX Medicaid 021936201
Other 1280270001 MEDICARE DMERC
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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