1134121759 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
MR. MICHAEL A BLAIR
SR VP & CFO
Phone: (320) 255-5665

Practice Location

Address
1360 ELM STREET EAST
CENTRACARE CLINIC - ST JOSEPH
ST JOSEPH, MN 563744106
Phone
(320) 363-7765

Mailing Address

Address
1200 6TH AVE N
SAINT CLOUD, MN 563032736
Phone
(320) 229-4977

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 N/A Primary

Other Identifiers

Identifier Type State Issuer
NA133 01 N/A PREF ONE
NA930 01 MN PREF ONE
990228700 05 MN N/A
86D71CE 01 N/A BCBS
110964 01 N/A UCARE
35580 01 N/A HEALTH PARTNERS
98-01789 01 N/A MEDICA

Frequently Asked Questions

What is CENTRACARE CLINIC's NPI number?
CENTRACARE CLINIC's NPI number is 1134121759.
Which doctor has NPI number 1134121759?
The doctor with NPI number 1134121759 is CENTRACARE CLINIC.
What is CENTRACARE CLINIC's practice address?
CENTRACARE CLINIC's practice address is 1360 ELM STREET EAST, CENTRACARE CLINIC - ST JOSEPH, ST JOSEPH, MN, 563744106.
Which doctor practices at 1360 ELM STREET EAST, CENTRACARE CLINIC - ST JOSEPH, ST JOSEPH, MN, 563744106?
CENTRACARE CLINIC practices at 1360 ELM STREET EAST, CENTRACARE CLINIC - ST JOSEPH, ST JOSEPH, MN, 563744106.
What is CENTRACARE CLINIC's mailing address?
CENTRACARE CLINIC's mailing address is 1200 6TH AVE N, SAINT CLOUD, MN, 563032736.
What is CENTRACARE CLINIC's phone number?
CENTRACARE CLINIC's phone number is (320) 363-7765.
Who is (320) 363-7765?
(320) 363-7765 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) 363-7765 to inquire about availability.
Is NPI 1134121759 still active?
Yes, NPI 1134121759 is currently active.
Where does CENTRACARE CLINIC practice?
CENTRACARE CLINIC practices in ST JOSEPH, MN.