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CENTRACARE CLINIC - LONG PRAIRIE
NPI 1184890097
Non-Pharmacy Dispensing Site in Long Prairie, MN

Active since May 01, 2008
24 9TH ST SE, LONG PRAIRIE, MN 56347(320) 732-2131 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centracare Clinic - Long Prairie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRACARE CLINIC - LONG PRAIRIE (NPI 1184890097) is a healthcare organization registered as a non-pharmacy dispensing site in Long Prairie, Minnesota and active in the NPI registry since May 2008. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1184890097
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCENTRACARE CLINIC - LONG PRAIRIE
Location Address24 9TH ST SELong Prairie, MN 56347-1404
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701 · (858) 625-2990
Phone(320) 732-2131
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateMay 1, 2008
Last NPPES UpdateDecember 2, 2015
✔ NPI 1184890097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MN · 36275
Definition
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.)
24 9TH ST SE, Long Prairie, MN 56347
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centracare Clinic - Long Prairie's NPI number?

The NPI number for Centracare Clinic - Long Prairie is 1184890097. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Centracare Clinic - Long Prairie located?

Centracare Clinic - Long Prairie is located at 24 9th St SE, Long Prairie, MN 56347. The listed phone number is (320) 732-2131.

What is Centracare Clinic - Long Prairie's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Centracare Clinic - Long Prairie was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.