CENTRACARE CLINIC - LONG PRAIRIE
NPI 1184890097
Non-Pharmacy Dispensing Site in Long Prairie, MN
NPI Status: Active since May 01, 2008
Contact Information
24 9TH ST SE
LONG PRAIRIE, MN
ZIP 56347
Phone: (320) 732-2131
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 24D0651643
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 12-12-2027
About CENTRACARE CLINIC - LONG PRAIRIE
This page provides the complete NPI Profile along with additional information for Centracare Clinic - Long Prairie, a provider established in Long Prairie, Minnesota operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1184890097 assigned on May 2008. The practitioner's primary taxonomy code is 332900000X with license number 36275 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1184890097
- Provider Name
- CENTRACARE CLINIC - LONG PRAIRIE
- Entity Type
- Organization
- Location Address
- 24 9TH ST SE LONG PRAIRIE, MN 56347
- Location Phone
- (320) 732-2131
- Mailing Address
- 9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
- Mailing Phone
- (858) 625-2990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-01-2008
- Last Update Date
- 12-02-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 36275
- License State
- MN
- Taxonomy Description
- 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.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0651643
- Facility Type
- Hospital
- Certificate Effective Date
- December 13, 2025
- Certificate Expiration Date
- December 12, 2027
- Laboratory Director
- JOEL A. MIRON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Centracare Clinic - Long Prairie after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184890097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184890097, enumerated as an "organization" on May 01, 2008.
The provider is located at 24 9TH ST SE LONG PRAIRIE, MN 56347 and the phone number is (320) 732-2131.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
