| Organization Name: | CENTRACARE HEALTH SYSTEM - LONG PRAIRIE |
| NPI Number: | 1952359614 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO) |
| Mailing Address: | 20 Se Ninth St Centracare Health System - Long Prairie Long Prairie |
| State: | MN US |
| Postal Code: | 563471404 |
| Phone Number: | 3207322141 |
| Fax Number: | 3207323802 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 275N00000X |
| License Number: | 331051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Medicare Defined Swing Bed Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |