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Contact Information

PRAIRIE LEARNING CENTER
7785 SAINT GERTRUDE AVE
RALEIGH, ND58564-4103
 Phone: 701-597-3419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for PRAIRIE LEARNING CENTER

NPI Number 1124146980
LBN Legal business name PRAIRIE LEARNING CENTER
Authorized official SUSAN KOCH - (FINANCE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ND Medicaid 50605
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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