PRAIRIE ST JOHNS is a psychiatric hospital in Fargo, ND. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PRAIRIE ST JOHNS NPI is 1417901000. The provider is registered as an organization entity type. The provider Former Legal Business Name Is Childrens Psychiatric Hospital.
The provider's business location address is:
510 4TH ST S FARGO, ND ZIP 58103-914 Phone: (701) 476-7200 Fax: (701) 476-7261
The provider's authorized official is Emmet M Kenney . The authorized official title is Chief Executive Officer and has the following contact phone number (701) 476-7882.
The enumeration date for this NPI number is 5/19/2006 and was last updated on 5/22/2008.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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