ESSENTIA HEALTH FOSSTON
NPI 1407268642
Assisted Living Facility in Fosston, MN

Active since May 22, 2014CLIA 24D2124620 · Waiver
903 PRAIRE PINES DRIVE, FOSSTON, MN 56542(218) 435-7682(701) 364-8476 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Essentia Health Fosston NPPES

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

ESSENTIA HEALTH FOSSTON (NPI 1407268642) is a healthcare organization registered as an assisted living facility in Fosston, Minnesota and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Kim Bodensteiner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407268642
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAIRIE PINES COMMUNITY
Location Address903 PRAIRE PINES DRIVEFosston, MN 56542
Mailing Address900 Hilligoss Blvd SeFosston, MN 56542-1542 · (218) 435-1134 · Fax (701) 364-8476
Fax(701) 364-8476
Organization SubpartYesParent: First Care Medical Services
Authorized OfficialKim BodensteinerCfo · (218) 435-7633
Enumeration DateMay 22, 2014
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1407268642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MN · 364748
Definition
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.
903 PRAIRE PINES DRIVE, Fosston, MN 56542

Other Names 1

Doing Business AsEssentia Health Fosston

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2124620

Prairie Pines Community · Fosston, MN
Active · expires Jan 22, 2027
CLIA Number24D2124620
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorAaron W. Sykes
Laboratory Phone(218) 435-1337
Laboratory LocationPrairie Pines Community903 Prairie Pines Drive, Fosston, MN 56542
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Pines Community's NPI number?

The NPI number for Prairie Pines Community is 1407268642. It was assigned to this organization in the NPPES registry on May 22, 2014. The provider is doing business as Essentia Health Fosston.

Where is Prairie Pines Community located?

Prairie Pines Community is located at 903 Praire Pines Drive, Fosston, MN 56542. The listed phone number is (218) 435-7682.

What is Prairie Pines Community's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Prairie Pines Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2124620) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prairie Pines Community accept?

Health plans from Sanford Health Plan list Prairie Pines Community as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prairie Pines Community was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.