PRAIRIE LAKES YOUTH PROGRAMS GIRLS GROUP HOME
NPI 1831376680
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Willmar, MN

Q: What is Prairie Lakes Youth Programs Girls Group Home's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since January 23, 2008CLIA 24D2275392 · Waiver

822 PARK AVE, WILLMAR, MN 56201(320) 235-6637(320) 235-6659 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Lakes Youth Programs Girls Group Home NPPES

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

PRAIRIE LAKES YOUTH PROGRAMS GIRLS GROUP HOME (NPI 1831376680) is a healthcare organization registered as a substance abuse treatment, children in Willmar, Minnesota and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Joyce K. Mcgillivray, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1831376680

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NamePRAIRIE LAKES YOUTH PROGRAMS GIRLS GROUP HOME

Location Address822 PARK AVEWillmar, MN 56201-2568

Mailing Address1804 Civic Center Dr, Po Box 902Willmar, MN 56201-9446 · (320) 235-0975 · Fax (320) 214-7067

Phone(320) 235-6637

Fax(320) 235-6659

Organization SubpartNo

Authorized OfficialJoyce K. McgillivrayAccounts Manager · (320) 235-0975

Enumeration DateJanuary 23, 2008

✔ NPI 1831376680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

License✔ Licensed in MN · 1049805-1-CRF

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

822 PARK AVE, Willmar, MN 56201

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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 24D2275392

Prairie Lakes Youth Programs · Willmar, MN

Active · expires Jan 19, 2027

CLIA Number24D2275392

Laboratory TypeCorrectional Facility

Certificate Effective DateJanuary 20, 2025

Certificate Expiration DateJanuary 19, 2027

Laboratory DirectorAmy E. Krupke

Laboratory Phone(320) 235-6637

Laboratory LocationPrairie Lakes Youth Programs822 Park Ave NW, Willmar, MN 56201

CLIA data matches this NPI record on: Address Name Phone

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 Lakes Youth Programs Girls Group Home's NPI number?

The NPI number for Prairie Lakes Youth Programs Girls Group Home is 1831376680. It was assigned to this organization in the NPPES registry on January 23, 2008.

Where is Prairie Lakes Youth Programs Girls Group Home located?

Prairie Lakes Youth Programs Girls Group Home is located at 822 Park Ave, Willmar, MN 56201. The listed phone number is (320) 235-6637.

What is Prairie Lakes Youth Programs Girls Group Home's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Prairie Lakes Youth Programs Girls Group Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2275392) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Lakes Youth Programs Girls Group Home was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.