NPI 1417901000

Prairie St Johns

Organisation Psychiatric Hospital Fargo, ND

Practice location

Address: 510 4th St S, Fargo, ND 58103-1914
Phone: (701) 476-7200
Fax: (701) 476-7261

Authorised official

Name: Emmet M Kenney
Title: Chief Executive Officer
Phone: (701) 476-7882

Registered specialties (2)

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 5063A (ND)

Other Psychiatric Hospital providers in North Dakota →

Psychiatric Hospital

Hospitals Taxonomy 283Q00000X Licence 1567 (MN)

Registry record

NPI: 1417901000
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 22 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.