PRAIRIE ST JOHNS
NPI 1417901000
Psychiatric Hospital in Fargo, ND
NPI Status: Active since May 19, 2006
Contact Information
510 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 476-7200
Fax: (701) 476-7261
- Organization
- Psychiatric Hospital
About PRAIRIE ST JOHNS
This page provides the complete NPI Profile along with additional information for Prairie St Johns, a provider established in Fargo, North Dakota operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1417901000 assigned on May 2006. The practitioner's primary taxonomy code is 283Q00000X with license number 5063A (ND). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's former legal business name is Childrens Psychiatric Hospital. The authorized official of this NPI record is Emmet M Kenney Jr. Md (Chief Executive Officer)
- NPI
- 1417901000
- Provider Legal Name
- PRAIRIE ST JOHNS
- Other Organization Name
- CHILDRENS PSYCHIATRIC HOSPITAL
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 510 4TH ST S FARGO, ND 58103
- Location Phone
- (701) 476-7200
- Location Fax
- (701) 476-7261
- Mailing Address
- 510 4TH ST S FARGO, ND 58103
- Mailing Phone
- (701) 476-7200
- Mailing Fax
- (701) 476-7261
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 05-22-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- License No.
- 5063A
- License State
- ND
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 283Q00000X | Hospitals | Psychiatric Hospital | 1567 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71130 | MEDICARE ID-TYPE UNSPECIFIED (04) | ND | |
| C03146 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | |
| 11778 | MEDICAID (05) | ND | |
| 99725100 | MEDICAID (05) | MN | |
| 71130 | MEDICARE PIN (08) | ND | |
| 099725100 | MEDICAID (05) | MN | |
| C03146 | MEDICARE UPIN (02) | MN |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417901000, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FARGO, ND 58103
FARGO, ND 58103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417901000, enumerated as an "organization" on May 19, 2006.
The provider is located at 510 4TH ST S FARGO, ND 58103 and the phone number is (701) 476-7200.
Psychiatric Hospital with taxonomy code 283Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
