1073601258 PRAIRIE ST. JOHN'S CLINIC

Adolescent and Children Mental Health Clinic/Center

Active

Basic Information

Organization Name
PRAIRIE ST. JOHN'S CLINIC
Enumeration Date
October 11, 2006
Last Update
August 22, 2020
Authorized Official
MR. JERRY W MAGNISON CFO
CHIEF FINANCIAL OFFICER
Phone: (701) 476-7221

Practice Location

Address
7616 CURRELL BLVD
SUITE 100
WOODBURY, MN 551252290
Phone
(651) 259-9700
Fax
(651) 259-9740

Mailing Address

Address
510 4TH ST S
PO BOX 2027
FARGO, ND 581031914
Phone
(701) 476-7221
Fax
(701) 476-7261

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center 5063A ND Primary

Other Identifiers

Identifier Type State Issuer
238T5PR 01 MN MINNESOTA BLUE CROSS

Frequently Asked Questions

What is PRAIRIE ST. JOHN'S CLINIC's NPI number?
PRAIRIE ST. JOHN'S CLINIC's NPI number is 1073601258.
Which doctor has NPI number 1073601258?
The doctor with NPI number 1073601258 is PRAIRIE ST. JOHN'S CLINIC.
What is PRAIRIE ST. JOHN'S CLINIC's practice address?
PRAIRIE ST. JOHN'S CLINIC's practice address is 7616 CURRELL BLVD, SUITE 100, WOODBURY, MN, 551252290.
Which doctor practices at 7616 CURRELL BLVD, SUITE 100, WOODBURY, MN, 551252290?
PRAIRIE ST. JOHN'S CLINIC practices at 7616 CURRELL BLVD, SUITE 100, WOODBURY, MN, 551252290.
What is PRAIRIE ST. JOHN'S CLINIC's mailing address?
PRAIRIE ST. JOHN'S CLINIC's mailing address is 510 4TH ST S, PO BOX 2027, FARGO, ND, 581031914.
What is PRAIRIE ST. JOHN'S CLINIC's phone number?
PRAIRIE ST. JOHN'S CLINIC's phone number is (651) 259-9700.
Who is (651) 259-9700?
(651) 259-9700 is the phone number for PRAIRIE ST. JOHN'S CLINIC.
What is PRAIRIE ST. JOHN'S CLINIC's specialty?
PRAIRIE ST. JOHN'S CLINIC's specialty is Adolescent and Children Mental Health Clinic/Center.
What type of doctor is PRAIRIE ST. JOHN'S CLINIC?
PRAIRIE ST. JOHN'S CLINIC is a Adolescent and Children Mental Health Clinic/Center.
Is PRAIRIE ST. JOHN'S CLINIC a Adolescent and Children Mental Health?
Yes, PRAIRIE ST. JOHN'S CLINIC is a Adolescent and Children Mental Health.
Is PRAIRIE ST. JOHN'S CLINIC still practicing?
Yes, PRAIRIE ST. JOHN'S CLINIC is currently practicing.
Is PRAIRIE ST. JOHN'S CLINIC accepting new patients?
PRAIRIE ST. JOHN'S CLINIC may be accepting new patients. Please call their office at (651) 259-9700 to inquire about availability.
Is NPI 1073601258 still active?
Yes, NPI 1073601258 is currently active.
Where does PRAIRIE ST. JOHN'S CLINIC practice?
PRAIRIE ST. JOHN'S CLINIC practices in WOODBURY, MN.