National Provider Identifier Database

CENTRACARE HEALTH SYSTEM LONG PRAIRIE
Rural Health


Contact Information

CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
50 CENTRACARE DR
LONG PRAIRIE, MN56347-2100
Phone: 320-732-2141
Fax: 320-732-3802
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CENTRACARE HEALTH SYSTEM - LONG PRAIRIE

NPI Number 1497986582
Legal business name
LBN
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
Authorized official MICHAEL BLAIR - (SR. VICE PRESIDENT AND CFO)
Entity Organization
Organization subpart No
Enumeration date 08/06/2009
Last updated 10/10/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 342848

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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