Organization · Type 2 NPI

Prairie Pines Community

Assisted Living Facility · Fosston, MN

NPI number 1407268642 Active

Practice location

903 Praire Pines Drive
Fosston, MN 56542

Call (218) 435-7682 Map

Fax (701) 364-8476

Mailing address

900 Hilligoss Blvd SE
Fosston, MN 56542-1542

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	364748 (MN)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1407268642
Entity type: Organization (Type 2)
Issued: May 22, 2014
Last updated: Oct 1, 2021
Status: Active
Subpart: Yes of First Care Medical Services

Other names

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Essentia Health Fosston · doing business as
Essentia Health Fosston · doing business as

Authorized official

Kim Bodensteiner
CFO
(218) 435-7633

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407268642

Prairie Pines Community's National Provider Identifier is 1407268642, issued on May 22, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fosston, MN. The record was last updated on Oct 1, 2021.