1417901000 PRAIRIE ST JOHNS

Psychiatric Hospital

Active

Basic Information

Organization Name
PRAIRIE ST JOHNS
Enumeration Date
May 19, 2006
Last Update
May 22, 2008
Authorized Official
EMMET M KENNEY JR. MD
CHIEF EXECUTIVE OFFICER
Phone: (701) 476-7882

Practice Location

Address
510 4TH ST S
FARGO, ND 581031914
Phone
(701) 476-7200
Fax
(701) 476-7261

Mailing Address

Address
510 4TH ST S
FARGO, ND 581031914
Phone
(701) 476-7200
Fax
(701) 476-7261

Specialties & Taxonomies

Specialty Code Classification License State Primary
Psychiatric Hospital
283Q00000X Psychiatric Hospital 1567 MN No
Psychiatric Hospital
283Q00000X Psychiatric Hospital 5063A ND Primary

Other Identifiers

Identifier Type State Issuer
11778 05 ND N/A
99725100 05 MN N/A
099725100 05 MN N/A

Frequently Asked Questions

What is PRAIRIE ST JOHNS's NPI number?
PRAIRIE ST JOHNS's NPI number is 1417901000.
Which doctor has NPI number 1417901000?
The doctor with NPI number 1417901000 is PRAIRIE ST JOHNS.
What is PRAIRIE ST JOHNS's practice address?
PRAIRIE ST JOHNS's practice address is 510 4TH ST S, FARGO, ND, 581031914.
Which doctor practices at 510 4TH ST S, FARGO, ND, 581031914?
PRAIRIE ST JOHNS practices at 510 4TH ST S, FARGO, ND, 581031914.
What is PRAIRIE ST JOHNS's phone number?
PRAIRIE ST JOHNS's phone number is (701) 476-7200.
Who is (701) 476-7200?
(701) 476-7200 is the phone number for PRAIRIE ST JOHNS.
What is PRAIRIE ST JOHNS's specialty?
PRAIRIE ST JOHNS's specialty is Psychiatric Hospital.
What type of doctor is PRAIRIE ST JOHNS?
PRAIRIE ST JOHNS is a Psychiatric Hospital.
Is PRAIRIE ST JOHNS a Psychiatric Hospital?
Yes, PRAIRIE ST JOHNS is a Psychiatric Hospital.
Is PRAIRIE ST JOHNS still practicing?
Yes, PRAIRIE ST JOHNS is currently practicing.
Is PRAIRIE ST JOHNS accepting new patients?
PRAIRIE ST JOHNS may be accepting new patients. Please call their office at (701) 476-7200 to inquire about availability.
Is NPI 1417901000 still active?
Yes, NPI 1417901000 is currently active.
Where does PRAIRIE ST JOHNS practice?
PRAIRIE ST JOHNS practices in FARGO, ND.