PRAIRIE ST JOHNS NPI 1417901000

NPI Information

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.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.