OrganizationActive
Centracare Clinic - Long Prairie
NPI 1184890097 · Non-Pharmacy Dispensing Site · Long Prairie, MN
Centracare Clinic - Long Prairie is a Non-Pharmacy Dispensing Site organization in Long Prairie, MN (NPI 1184890097).
Provider details
- NPI number
- 1184890097
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- 36275 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 9th St Se
Long Prairie, MN 56347-1404
Phone: (320) 732-2131
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2015-12-02
Frequently asked questions
- What is Centracare Clinic - Long Prairie's NPI number?
- Centracare Clinic - Long Prairie's National Provider Identifier (NPI) is 1184890097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centracare Clinic - Long Prairie?
- Centracare Clinic - Long Prairie is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Centracare Clinic - Long Prairie located?
- Centracare Clinic - Long Prairie's practice location on file with NPPES is 24 9th St Se, Long Prairie, MN 56347-1404.
- What is Centracare Clinic - Long Prairie's phone number?
- The practice phone number listed in the NPPES registry for Centracare Clinic - Long Prairie is (320) 732-2131.
- Who is the authorized official for Centracare Clinic - Long Prairie?
- The authorized official listed on Centracare Clinic - Long Prairie's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centracare Clinic - Long Prairie's NPI active?
- Yes — Centracare Clinic - Long Prairie's NPI (1184890097) is active in the NPPES registry as of the last update on 2015-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.