PRAIRIECARE LLC (NPI# 1215182928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215182928 |
| Entity Type | Organization |
| Organization Name | PRAIRIECARE LLC |
| Other Organization Name | PRAIRIECARE |
| Practice Address |
9400 Zane Ave N Brooklyn Park MN 55443 |
| Practice Telephone | 7637628800 |
| Practice Fax Number | 7633154669 |
| Mailing Telephone | 7637628800 |
| Mailing Fax Number | 7633154669 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | DR. STEPHEN R. SETTERBERG (PRESIDENT) |
| Authorized Official Telephone | 9528268378 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| PrairieCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378167 | Prairiecare LLC | Pharmacy | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-11-03 |
| Street Address |
9400 ZANE AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648978 | Ryan Matthew Williams | Psychiatry & Neurology | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2006-06-16 |
| 1811536964 | Lindsay Fiedler-schiel | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2020-01-06 |
| 1043778095 | Julie Markwardt | Social Worker | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2019-03-08 |
| 1730651316 | Samantha Preusser | Social Worker | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2018-12-20 |
| 1720595440 | Jane Madeleine Axelrod | Pharmacist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2018-01-03 |
| 1508378167 | Prairiecare LLC | Pharmacy | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-11-03 |
| 1477072320 | Marie Lynn Odegaard | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443 | 2017-09-12 |
| 1972028306 | Katie Ann Ullman | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-08-07 |
| 1003337643 | Jennifer Anne Franke | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-07-05 |
| 1558881136 | Hoa Canh Le | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490838 | Second Chance Behavioral Health Center LLC | Psychiatric Hospital | 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1285760363 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-02-26 |
| 1013042589 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 11630 State Ave, Brainerd, MN 56401-7306 | 2007-02-23 |
| 1346304805 | Comminty Behavioral Health Hospital-cold Spring | Psychiatric Hospital | 224 Krays Mill Road, Cold Spring, MN 56320 | 2006-12-20 |
| 1487715033 | Community Behavioral Health Hospital-baxter | Psychiatric Hospital | 14241 Grand Oaks Drive, Baxter, MN 56425 | 2006-12-13 |
| 1962583039 | Community Behavioral Health Hospital-fergus Falls | Psychiatric Hospital | 1801 West Alcott, Fergus Falls, MN 56537 | 2006-10-17 |
| 1336237957 | Minneapolis Veterans Administration Hospital | Psychiatric Hospital | 1 Veterans Dr # 116a, Minneapolis, MN 55417-2309 | 2006-10-10 |
| 1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
| 1386676799 | Community Behavioral Health Hospital-alexandria | Psychiatric Hospital | 1610 8th Aveune East, Alexandria, MN 56308 | 2006-07-07 |
| 1609814821 | Fergus Falls Regional Treatment Center | Psychiatric Hospital | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.