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Prairie St Johns

Psychiatric Hospital in Fargo, ND · enumerated 2006 · authorized official Emmet Kenney, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417901000

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Registry record

Entity type Organization (Type 2)
Legal business name Prairie St Johns
Other name <Unavail>
Practice address 510 4th St S, Fargo, ND, 58103
Phone (701) 476-7200
Fax (701) 476-7261
Enumeration date May 19, 2006
Last updated in NPPES May 22, 2008

Taxonomy & classification

283Q00000X Psychiatric Hospital Hospitals · License 5063A (ND) Primary
283Q00000X Psychiatric Hospital Hospitals · License 1567 (MN) Secondary

Authorized official

Name Emmet Kenney
Title Chief Executive Officer
Phone (701) 476-7882

Other identifiers

Identifier Type State Issuer
11778 Medicaid ND -
99725100 Medicaid MN -
099725100 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Prairie St Johns?
The NPI for Prairie St Johns is 1417901000, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prairie St Johns?
NPPES lists Emmet Kenney (Chief Executive Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-22.