| Organization Name: | CENTRACARE HEALTH SYSTEM - LONG PRAIRIE |
| NPI Number: | 1497986582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO) |
| Mailing Address: | 20 9th St Se Long Prairie |
| State: | MN US |
| Postal Code: | 563471404 |
| Phone Number: | 3207322141 |
| Fax Number: | 3207323802 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 342848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |