| Prairier St John's | |
|
510 4th St S Fargo ND 58103-1914 | |
| (710) 476-7863 | |
| (615) 312-5711 |
| Full Name | Prairier St John's |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 510 4th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Christopher Howard (CEO) |
| Authorized Official Contact | 7014767863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairier St John's 510 4th St S Fargo ND 58103-1914 Ph: (710) 476-7863 | Prairier St John's 510 4th St S Fargo ND 58103-1914 Ph: (710) 476-7863 |
| NPI Number | 1588998090 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588998090 | NPI | - | NPPES |
| 11051 | Medicaid | ND |
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