Provider Demographics
NPI:1083851141
Name:PREGNANCY RESOURCE CENTER
Entity Type:Organization
Organization Name:PREGNANCY RESOURCE CENTER
Other - Org Name:ST CLOUD CRISIS PREGNANCY CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SPORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-253-5333
Mailing Address - Street 1:3400 1ST ST N
Mailing Address - Street 2:SUITE NUMBER 302
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4000
Mailing Address - Country:US
Mailing Address - Phone:320-253-5333
Mailing Address - Fax:320-255-5003
Practice Address - Street 1:3400 1ST ST N
Practice Address - Street 2:SUITE NUMBER 302
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4000
Practice Address - Country:US
Practice Address - Phone:320-253-5333
Practice Address - Fax:320-255-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health