PRAIRIE COMMINITY SERVICES NPI 1659459774

NPI Information

  • NPI: 1659459774
  • Provider Name: PRAIRIE COMMINITY SERVICES
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 801 NEVADA AVE
    MORRIS, MN
    ZIP 56267
  • Phone: (320) 589-3077

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NPI Details

PRAIRIE COMMINITY SERVICES is an intermediate care facility mentally retarded in Morris, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PRAIRIE COMMINITY SERVICES NPI is 1659459774. The provider is registered as an organization entity type.

The provider's business location address is:

801 NEVADA AVE
MORRIS, MN
ZIP 56267-865
Phone: (320) 589-3077
Fax: (320) 589-2543

The provider's authorized official is Sherry Wagner .
The authorized official title is Cfo and has the following contact phone number (320) 589-4902.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 3/18/2011.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities808635-1-RSMINNESOTAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11133250000MEDICAIDMINNESOTA

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: 11/21/2025

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