1043212665 CENTRACARE CLINIC

Multi-Specialty Clinic/Center

Active

Basic Information

Organization Name
CENTRACARE CLINIC
Enumeration Date
August 12, 2005
Last Update
July 21, 2022
Authorized Official
MICHAEL A BLAIR
SR VP & CFO
Phone: (320) 255-5665

Practice Location

Address
1200 SIXTH AVE NO
CENTRACARE CLINIC
ST CLOUD, MN 563032735
Phone
(320) 252-5131
Fax
(320) 240-2118

Mailing Address

Address
1200 SIXTH AVE NO
CENTRACARE CLINIC
ST CLOUD, MN 563032735
Phone
(320) 252-5131
Fax
(320) 240-2118

Specialties & Taxonomies

Specialty Code Classification License State Primary
Multi-Specialty Clinic/Center
Multi-Specialty
261QM1300X Clinic/Center N/A MN No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Multi-Specialty Clinic/Center
Multi-Specialty
261QM1300X Clinic/Center N/A MN Primary

Other Identifiers

Identifier Type State Issuer
6D053CE 01 N/A BLUE CROSS BLUE SHIELD
N002912 01 N/A CHAMPUS
98-04122 01 N/A MEDICA
35580 01 N/A HEALTH PARTNERS
990228700 05 MN N/A
110890 01 N/A U CARE

Frequently Asked Questions

What is CENTRACARE CLINIC's NPI number?
CENTRACARE CLINIC's NPI number is 1043212665.
Which doctor has NPI number 1043212665?
The doctor with NPI number 1043212665 is CENTRACARE CLINIC.
What is CENTRACARE CLINIC's practice address?
CENTRACARE CLINIC's practice address is 1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN, 563032735.
Which doctor practices at 1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN, 563032735?
CENTRACARE CLINIC practices at 1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN, 563032735.
What is CENTRACARE CLINIC's phone number?
CENTRACARE CLINIC's phone number is (320) 252-5131.
Who is (320) 252-5131?
(320) 252-5131 is the phone number for CENTRACARE CLINIC.
What is CENTRACARE CLINIC's specialty?
CENTRACARE CLINIC's specialty is Multi-Specialty Clinic/Center.
What type of doctor is CENTRACARE CLINIC?
CENTRACARE CLINIC is a Multi-Specialty Clinic/Center.
Is CENTRACARE CLINIC a Multi-Specialty?
Yes, CENTRACARE CLINIC is a Multi-Specialty.
Is CENTRACARE CLINIC still practicing?
Yes, CENTRACARE CLINIC is currently practicing.
Is CENTRACARE CLINIC accepting new patients?
CENTRACARE CLINIC may be accepting new patients. Please call their office at (320) 252-5131 to inquire about availability.
Is NPI 1043212665 still active?
Yes, NPI 1043212665 is currently active.
Where does CENTRACARE CLINIC practice?
CENTRACARE CLINIC practices in ST CLOUD, MN.