Centracare Clinic in St Joseph - Multi-specialty
Centracare Clinic - NPI 1134121759
Centracare Clinic is a Multi-specialty in St Joseph, Minnesota. Centracare Clinic practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Centracare Clinic is 1134121759. The last update date is 2022-07-21.
Centracare Clinic's current location address is 1360 Elm Street East, St Joseph, Minnesota. You can contact this provider via phone number 3203637765. The mailing address for Centracare Clinic is 1360 Elm Street East, St Joseph, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centracare Clinic |
|---|---|
| Address | 1360 Elm Street East, St Joseph, Minnesota |
| Phone Number | 3203637765 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VP & CF |
|---|---|
| Authorized Official Name | Blair A Michael |
| Telephone Number | 3202555665 |
NPI Number Detail
| NPI Number | 1134121759 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1360 Elm Street East |
|---|---|
| City | St Joseph |
| State | Minnesota (MN) |
| Post Code | 563744106 |
| Phone Number | 3203637765 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NA133 | PREF ONE | ||
| NA930 | MN | PREF ONE | |
| 990228700 | MN | -- | |
| 86D71CE | BCBS | ||
| 110964 | UCARE | ||
| 35580 | HEALTH PARTNERS | ||
| 98-01789 | MEDICA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Centracare Clinic?
The Centracare Clinic has been issued the NPI (National Provider Identifier) 1134121759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Centracare Clinic located?
The Centracare Clinic is located at 1360 Elm Street East, St Joseph, MN 563744106.
What is Centracare Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Centracare Clinic is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
When did Centracare Clinic receive its 1134121759 assignment?
The Centracare Clinic was assigned its 1134121759 on 2005-08-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Centracare Clinic most recently updated?
The details pertaining to the Centracare Clinic, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.