| Prairiecare | |
|
9400 Zane Ave N Brooklyn Park MN 55443 | |
| (763) 762-8800 | |
| (763) 315-4669 |
| Full Name | Prairiecare |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 9400 Zane Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Stephen R. Setterberg (PRESIDENT) |
| Authorized Official Contact | 9528268378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairiecare 9400 Zane Ave N Brooklyn Park MN 55443 Ph: (763) 762-8800 | Prairiecare 9400 Zane Ave N Brooklyn Park MN 55443 Ph: (763) 762-8800 |
| NPI Number | 1215182928 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 4385805563 |
|---|---|
| Medicare Enrollment ID | O20120416000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215182928 | NPI | - | NPPES |
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