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
(320) 732-3802
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 732-2141
(320) 732-3802
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
342848
MN
Other
Enumeration date
08/06/2009
Last updated
10/10/2019
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