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PRAIRIE ST. JOHNS
NPI 1235260993
General Acute Care Hospital - Children in Minnetonka, MN

Active since March 07, 2007
11610 WAYZATA BLVD, MINNETONKA, MN 55305(952) 230-9180 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prairie St. Johns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE ST. JOHNS (NPI 1235260993) is a healthcare organization registered as a children in Minnetonka, Minnesota and active in the NPI registry since March 2007. The organization lists Gina Kinnamon, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1235260993
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NamePRAIRIE ST. JOHNS
Location Address11610 WAYZATA BLVDMinnetonka, MN 55305-2009
Mailing Address110 W Grant St Apt 9jMinneapolis, MN 55403-2311 · (612) 940-1546
Phone(952) 230-9180
Organization SubpartNo
Authorized OfficialGina KinnamonExecutive Assistant · (701) 476-7208
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235260993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License✔ Licensed in MN · 14993
11610 WAYZATA BLVD, Minnetonka, MN 55305
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie St. Johns's NPI number?

The NPI number for Prairie St. Johns is 1235260993. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Prairie St. Johns located?

Prairie St. Johns is located at 11610 Wayzata Blvd, Minnetonka, MN 55305. The listed phone number is (952) 230-9180.

What is Prairie St. Johns's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

When was this NPI record last updated?

The NPPES record for Prairie St. Johns was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.