Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centracare Clinic - Long Prairie

Organization Non-Pharmacy Dispensing Site · NPI 1184890097

Centracare Clinic - Long Prairie is a Non-Pharmacy Dispensing Site in Long Prairie, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

24 9th St SE
Long Prairie, MN 56347-1404
Phone: (320) 732-2131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 36275 (MN)

Record details

NPI number1184890097
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
NPI enumeratedMay 1, 2008
Last updated in NPPESDecember 2, 2015
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701