PRAIRIE LEARNING CENTER – NPI #1124146980
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

PRAIRIE LEARNING CENTER is a substance abuse rehabilitation facility located in RALEIGH, ND. NPPES has assigned the NPI number 1124146980 to PRAIRIE LEARNING CENTER on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRAIRIE LEARNING CENTER below.

NPI Profile for
PRAIRIE LEARNING CENTER

NPI Number
1124146980
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRAIRIE LEARNING CENTER
Primary location
7785 SAINT GERTRUDE AVE
RALEIGH, ND 58564-4103
Phone: (701) 597-3419 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN KOCH
FINANCE MANAGER
Phone: (701) 597-3419
Updated
Identifiers

Identifiers for PRAIRIE LEARNING CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDND50605
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.