PSJ ACQUISITION LLC NPI 1679709802

NPI Information

  • NPI: 1679709802
  • Provider Name: PSJ ACQUISITION LLC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Doing Business As: PRAIRIE ST JOHN'S
  • CLIA Number: 35D0951705
  • Address: 510 4TH ST S
    FARGO, ND
    ZIP 58103
  • Phone: (701) 476-7200

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NPI Details

PSJ ACQUISITION LLC 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. PSJ ACQUISITION LLC NPI is 1679709802. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prairie St John's.

The provider's business location address is:

510 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 476-7200
Fax: (701) 280-5789

The provider's authorized official is Steve Filton .
The authorized official title is Srvp Cfo and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 35D0951705 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 4/29/2024.

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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2283Q00000XPsychiatric HospitalYes

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
111051MEDICAIDNORTH DAKOTA
299725100MEDICAIDMINNESOTA

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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