Centracare Health System - Long Prairie

A Medicare group practice based in Long Prairie, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3870524598), with 183 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870524598The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation
Enrolled in
MN
Enrollments
5
Group size
44 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20050823000460 MN Part B Supplier - Clinic/Group Practice 1164471678
O20080430000510 MN Part A Provider - Critical Access Hospital 1952359614
O20061104000579 MN Part A Provider - Critical Access Hospital 1164471678
O20100804000406 MN Part A Provider - Rural Health Clinic 1497986582
O20200130000014 MN Part B Supplier - Intensive Cardiac Rehabilitation 1164471678

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 183

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (178) or whom Care Compare lists as members (44).

Sources for this page