1225030844 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
1900 CENTRACARE CIRCLE
CENTRACARE CLINIC-WOMEN & CHILDREN
ST CLOUD, MN 563035000
Phone
(320) 654-3630
Fax
(320) 654-3667

Mailing Address

Address
1200 6TH AVE N
SAINT CLOUD, MN 563032736
Phone
(320) 229-4977
Fax
(320) 654-3667

Specialties & Taxonomies

Specialty Code Classification License State Primary
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 No
Multi-Specialty Clinic/Center
Multi-Specialty
261QM1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
052720300 05 MN N/A
NA139 01 N/A PREF ONE
35580 01 N/A HEALTH PARTNERS
110382 01 N/A UCARE
98-12146 01 N/A MEDICA
50A45CE 01 N/A BCBS
50A61CE 01 N/A BCBS

Frequently Asked Questions

What is CENTRACARE CLINIC's NPI number?
CENTRACARE CLINIC's NPI number is 1225030844.
Which doctor has NPI number 1225030844?
The doctor with NPI number 1225030844 is CENTRACARE CLINIC.
What is CENTRACARE CLINIC's practice address?
CENTRACARE CLINIC's practice address is 1900 CENTRACARE CIRCLE, CENTRACARE CLINIC-WOMEN & CHILDREN, ST CLOUD, MN, 563035000.
Which doctor practices at 1900 CENTRACARE CIRCLE, CENTRACARE CLINIC-WOMEN & CHILDREN, ST CLOUD, MN, 563035000?
CENTRACARE CLINIC practices at 1900 CENTRACARE CIRCLE, CENTRACARE CLINIC-WOMEN & CHILDREN, ST CLOUD, MN, 563035000.
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) 654-3630.
Who is (320) 654-3630?
(320) 654-3630 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) 654-3630 to inquire about availability.
Is NPI 1225030844 still active?
Yes, NPI 1225030844 is currently active.
Where does CENTRACARE CLINIC practice?
CENTRACARE CLINIC practices in ST CLOUD, MN.