CENTRACARE CLINIC - LONG PRAIRIE NPI 1184890097

NPI Information

CENTRACARE CLINIC - LONG PRAIRIE is a non pharmacy dispensing site in Long Prairie, MN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CENTRACARE CLINIC - LONG PRAIRIE NPI is 1184890097. The provider is registered as an organization entity type.

The provider's business location address is:

24 9TH ST SE
LONG PRAIRIE, MN
ZIP 56347-404
Phone: (320) 732-2131

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 24D0651643 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 12/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.