CENTRACARE HEALTH SYSTEM - LONG PRAIRIE (NPI# 1952359614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952359614 |
| Entity Type | Organization |
| Organization Name | CENTRACARE HEALTH SYSTEM - LONG PRAIRIE |
| Practice Address |
50 Centracare Dr Long Prairie MN 56347 |
| Mailing Address |
50 Centra Care Dr Long Prairie MN 56347-2100 |
| Practice Telephone | 3207322141 |
| Mailing Telephone | 3202564231 |
| Mailing Fax Number | 3202564949 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 3202555665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 331051 | MN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 556717300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Se Ninth St, Centracare Health System - Long Prairie, Long Prairie, MN 56347 | 3207322141 | 3207323802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003358649 | Centracare Health System - Long Prairie | Assisted Living Facility | 20 9th St Se, Long Prairie, MN 56347-1404 | 2016-11-14 |
| 1497986582 | Centracare Health System - Long Prairie | Clinic/Center | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2009-08-06 |
| 1164471678 | Centracare Health System - Long Prairie | General Acute Care Hospital | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2006-05-10 |
| Street Address |
50 CENTRACARE DR |
| City | LONG PRAIRIE |
| State | MN |
| Zip Code | 56347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143273 | Clara Marie Vancura | Dietitian, Registered | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2019-06-17 |
| 1093237398 | Jennifer Marie Love | Nurse Practitioner | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2017-07-09 |
| 1972899896 | Lionel Mcintosh | Family Medicine | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2011-06-20 |
| 1497986582 | Centracare Health System - Long Prairie | Clinic/Center | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2009-08-06 |
| 1770727216 | Dennis A Faith | Family Medicine | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2009-04-28 |
| 1164471678 | Centracare Health System - Long Prairie | General Acute Care Hospital | 50 Centracare Dr, Long Prairie, MN 56347-2100 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720589088 | Landyn T R Prescott Miles | Counselor | 20547 Us Hwy 71 South, Long Priarie, MN 56347 | 2018-02-22 |
| 1659321420 | John P Nei | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-05-11 |
| 1457342131 | Anand K Shah | Family Medicine | 24 9th St Se, Centracare Clinic Long Prairie, Long Prairie, MN 56347 | 2005-11-02 |
| 1669944104 | Vandesteeg & Larson Optometric Clinic, Pa | Optometrist | 240 Central Ave, Long Prairie, MN 56347 | 2018-12-21 |
| 1598243438 | Lakeland Dental P.l.l.c. | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2018-08-02 |
| 1366763039 | Pharm Properties | Pharmacy | 244 Central Ave, Long Prairie, MN 56347 | 2010-06-17 |
| 1760428593 | William H Peterson | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-06-21 |
| 1396780540 | Michael Winge | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-06-19 |
| 1811943061 | Long Prairie Dental Clinic LLC | Dentist | 917 1st Ave Se, Long Prairie, MN 56347 | 2006-05-26 |
| 1538161146 | Centracare Clinic Long Prairie | Clinic/Center | 24 9th St Se, Centracare Clinic Long Prairie, Long Prairie, MN 56347 | 2005-08-12 |
| Find all providers in zip 56347 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| 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. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
| City | LONG PRAIRIE |
| Zip Code | 56347 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.