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Prairie St Johns
Psychiatric Hospital in Fargo, North Dakota
NPI 1417901000

Prairie St Johns is a Psychiatric Hospital based in Fargo, ND. Prairie St Johns practices in Fargo, ND. The NPI Number for Prairie St Johns is 1417901000 and holds a License No. 5063A (North Dakota).

The current practice location address for Prairie St Johns is 510 4Th St S, Fargo, ND and can be reached out via phone at 701-476-7200 and via fax at 701-476-7261.

Location: 510 4Th St S, Fargo, ND, 58103-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417901000
Provider Name
Prairie St Johns
Credential
Provider Entity Type
Organization
Address
510 4Th St S, Fargo, ND, 58103-1914
Phone Number
701-476-7200
Fax Number
701-476-7261
Provider Enumeration Date
05/19/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11778 05 ND
99725100 05 MN
099725100 05 MN
institution
Provider Business Practice Location Address Details
Address
510 4Th St S
City
Fargo
State
North Dakota
Zip
58103-1914
Phone Number
701-476-7200
Fax Number
701-476-7261
person
Provider Business Mailing Address Details
Address
510 4Th St S
City
Fargo
State
North Dakota
Zip
58103-1914
Phone Number
701-476-7200
Fax Number
701-476-7261
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
5063A (North Dakota)
Definition
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.
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