Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie St Johns

Organization Psychiatric Hospital · NPI 1417901000

Prairie St Johns is a Psychiatric Hospital in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2006.

Licensed in
MN, ND
In the registry since
2006
Specialties on file
2

Practice location Address checks out

510 4th St S
Fargo, ND 58103-1914
Phone: (701) 476-7200
Fax: (701) 476-7261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence 5063A (ND)
Psychiatric Hospital Taxonomy 283Q00000X · Licence 1567 (MN)

Record details

NPI number1417901000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmet Kenney — Chief Executive Officer · (701) 476-7882
Other names Childrens Psychiatric Hospital
NPI enumeratedMay 19, 2006
Last updated in NPPESMay 22, 2008
Mailing address510 4th St S, Fargo, ND 58103-1914