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PRAIRIE ST JOHN'S
NPI 1679709802
Psychiatric Hospital in Fargo, ND

Active since June 02, 2009
510 4TH ST S, FARGO, ND 58103(701) 476-7200(701) 280-5789 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2024, Aug 18, 2016 (2 updates tracked since 2016).

About Prairie St John's NPPES

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

PRAIRIE ST JOHN'S (NPI 1679709802) is a healthcare organization registered as a psychiatric hospital in Fargo, North Dakota and active in the NPI registry since June 2009. The organization maintains a secondary practice location in Fargo and lists Steve Filton, Srvp Cfo, as its authorized official.

NPPES Registry Identity

NPI1679709802
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NamePSJ ACQUISITION LLC
Location Address510 4TH ST SFargo, ND 58103
Mailing Address510 4th St SFargo, ND 58103 · (701) 476-7200 · Fax (701) 280-5789
Phone(701) 476-7200
Fax(701) 280-5789
Organization SubpartNo
Authorized OfficialSteve FiltonSrvp Cfo · (610) 768-3300
Enumeration DateJune 2, 2009
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1679709802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
510 4TH ST S, Fargo, ND 58103
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Other Names 1

Doing Business AsPrairie St John's

Secondary Practice Location 1

Location 1390 6th Ave SFargo, ND 58103-1918 · Phone (701) 476-7200

Other Identifiers 2

Medicaid11051ND
Medicaid99725100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Prairie St John's (CMS certification number 354004), from CMS Care Compare.

Prairie St John's

Psychiatric · Fargo, ND
OwnershipProprietary
CMS Certification Number354004
Location510 4th Street SouthFargo, ND 58103 · Cass County · (701) 476-7200

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIFF ELIZABETH PETERSON
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
ASHLEY BISHOP
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
DR. LAWANA MARIE BURTNETT M.D.
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
MARYN LYNNA YOUNG FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
CHERYL MELBYE LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7240
MRS. GLENICE M CARLSON PAC
Physician Assistant
510 4TH ST S, PRAIRIE ST JOHNS
FARGO, ND 58103
Cass County (701) 476-7239
CAMIE LYNN PFEIFER LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7876
WILLIAM D BRINK LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200

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 Psj Acquisition LLC's NPI number?

The NPI number for Psj Acquisition LLC is 1679709802. It was assigned to this organization in the NPPES registry on June 2, 2009. The provider is doing business as Prairie St John's.

Where is Psj Acquisition LLC located?

Psj Acquisition LLC is located at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.

What is Psj Acquisition LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Psj Acquisition LLC a Medicare-certified hospital?

Yes. Prairie St John's is a Medicare-certified hospital (Psychiatric).

What insurance does Psj Acquisition LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Psj Acquisition LLC 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 Psj Acquisition LLC was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.