Psj Acquisition LLC
Psychiatric Hospital in Fargo, ND. Organization (NPI-2).
NPI number1679709802
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1679709802
- Entity type
- Organization (NPI-2)
- Legal business name
- Psj Acquisition LLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2009
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Other names
- Prairie St John'S (Doing Business As)
Practice location
510 4th St SFargo, ND 58103
Phone 701-476-7200 · Fax 701-280-5789
Mailing address
510 4th St SFargo, ND 58103
Phone 701-476-7200 · Fax 701-280-5789
Other practice locations
390 6th Ave S
Fargo, ND 58103-1918
Fargo, ND 58103-1918
Phone 701-476-7200
Authorized official
Steve Filton
Srvp Cfo
6107683300
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Other Psychiatric Hospital providers in Fargo, ND
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