| Prairie St. John's Clinic | |
|
7616 Currell Blvd Suite 100 Woodbury MN 55125-2290 | |
| (651) 259-9700 | |
| (651) 259-9740 |
| Full Name | Prairie St. John's Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7616 Currell Blvd, Woodbury, Minnesota |
| Authorized Official Name and Position | Jerry W Magnison (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7014767221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie St. John's Clinic 510 4th St S Po Box 2027 Fargo ND 58103-1914 Ph: (701) 476-7221 | Prairie St. John's Clinic 7616 Currell Blvd Suite 100 Woodbury MN 55125-2290 Ph: (651) 259-9700 |
| NPI Number | 1073601258 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073601258 | NPI | - | NPPES |
| 238T5PR | Other | MN | MINNESOTA BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 5063A (North Dakota) | Primary |
Kubei Holdings Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6043 Hudson Rd Ste 340, Woodbury, MN 55125 Phone: 651-528-7141 Fax: 651-528-7897 | |
Candor Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3263 Mulberry Bay, Woodbury, MN 55129 Phone: 651-855-8209 | |
Prairie Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7616 Currell Blvd, Woodbury, MN 55125 Phone: 651-259-9700 Fax: 651-259-9730 | |
Crossroads Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6053 Hudson Rd Ste 192, Woodbury, MN 55125 Phone: 651-276-8446 | |
Victor Counseling And Consultant Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6043 Hudson Rd Ste 355, Woodbury, MN 55125 Phone: 651-434-9186 | |
Lori Peiffer, Phd, Lp, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1800 Wooddale Drive, Suite 204, Woodbury, MN 55125 Phone: 612-584-8704 Fax: 844-252-4852 |