OrganizationActive
Prairie St Johns
NPI 1417901000 · Psychiatric Hospital · Fargo, ND
Prairie St Johns is a Psychiatric Hospital organization in Fargo, ND (NPI 1417901000).
Provider details
- NPI number
- 1417901000
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Emmet Kenney, Chief Executive Officer(701) 476-7882
- License
- 1567 (MN)
Specialties & taxonomies
Hospitals
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 4th St S
Fargo, ND 58103-1914
Phone: (701) 476-7200
Fax: (701) 476-7261
Street-level locationGet directions
Mailing address
510 4th St S
Fargo, ND 58103-1914
Other names (DBA / former)
- Former legal business name
- Childrens Psychiatric Hospital
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2008-05-22
Frequently asked questions
- What is Prairie St Johns's NPI number?
- Prairie St Johns's National Provider Identifier (NPI) is 1417901000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie St Johns?
- Prairie St Johns is classified in the NPPES registry as Psychiatric Hospital (Hospitals).
- Where is Prairie St Johns located?
- Prairie St Johns's practice location on file with NPPES is 510 4th St S, Fargo, ND 58103-1914.
- What is Prairie St Johns's phone number?
- The practice phone number listed in the NPPES registry for Prairie St Johns is (701) 476-7200.
- Who is the authorized official for Prairie St Johns?
- The authorized official listed on Prairie St Johns's NPPES record is Emmet Kenney, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie St Johns's NPI active?
- Yes — Prairie St Johns's NPI (1417901000) is active in the NPPES registry as of the last update on 2008-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.