PROSPER INCORPORATED NPI 1275045718

NPI Information

NPI: 1275045718
Provider Name: PROSPER INCORPORATED
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

CLIA Number: 24D2091799

Address:
701 CENTER AVE E
DILWORTH, MN
ZIP 56529
Phone: (218) 284-7772
Get Directions

PROSPER INCORPORATED is a recovery care clinic center in Dilworth, MN. PROSPER INCORPORATED NPI is 1275045718. The provider is registered as an organization entity type.

The provider's business location address is:

701 CENTER AVE E
DILWORTH, MN
ZIP 56529-410
Phone: (218) 284-7772
Fax: (218) 284-7774

The provider's authorized official is Stacy Gene Keeping .
The authorized official title is Owner/program Director and has the following contact phone number (218) 284-7772.

The CLIA number assigned to this NPI record is 24D2091799 - other - residential substance use with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0800X	Clinic/Center	Recovery Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »