Organization
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
50 CENTRACARE DR, LONG PRAIRIE, MN 56347-2100
(320) 732-2141
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
331051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556717300
—
MN
Enumeration date
05/10/2006
Last updated
10/10/2019
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