CENTRACARE CLINIC - LONG PRAIRIE; NPI #1184890097

Contact Information

CENTRACARE CLINIC - LONG PRAIRIE

24 9TH ST SE
LONG PRAIRIE, MN 56347-1404

Phone: 320-732-2131
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for CENTRACARE CLINIC - LONG PRAIRIE

NPI # 1184890097

LBN Legal business name CENTRACARE CLINIC - LONG PRAIRIE

Authorized official KENNY HEINE - (VP OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/01/2008

Last updated 12/02/2015 - About 11 years ago

Identifiers

License #

36275

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTRACARE CLINIC - LONG PRAIRIE

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for CENTRACARE CLINIC - LONG PRAIRIE

Reviews for CENTRACARE CLINIC - LONG PRAIRIE