CENTRACARE CLINIC - LONG PRAIRIE

LONG PRAIRIE, MN
NPI1184890097
Entity TypeOrganization
Authorized ContactKENNY HEINE
VP Of Operations
858-625-2990
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: MN  36275)
Enumeration Date2008-05-01
Last Update Date2015-12-02
Business Address
CENTRACARE CLINIC - LONG PRAIRIE
24 9TH ST SE
LONG PRAIRIE, MN 56347-1404
Phone number: 320-732-2131
Mailing Address
CENTRACARE CLINIC - LONG PRAIRIE
9276 SCRANTON RD SUITE 100
SAN DIEGO, CA 92121-7701
Phone number: 858-625-2990