| Prairie Community Services | |
|
801 Nevada Ave Morris MN 56267-1865 | |
| (320) 589-3077 | |
| (320) 589-2543 |
| Full Name | Prairie Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 Nevada Ave, Morris, Minnesota |
| Authorized Official Name and Position | Sherry Wagner (CFO) |
| Authorized Official Contact | 3205894902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Community Services 801 Nevada Ave Morris MN 56267-1865 Ph: (320) 589-3077 | Prairie Community Services 801 Nevada Ave Morris MN 56267-1865 Ph: (320) 589-3077 |
| NPI Number | 1891865564 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891865564 | NPI | - | NPPES |
| 431598700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4315987 02 (Minnesota) | Primary |
Brentwood Pcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Nevada Ave Ste 100, Morris, MN 56267 Phone: 320-589-2004 Fax: 320-589-2543 |