Centracare Clinic in St Cloud - Multi-specialty
Centracare Clinic - NPI 1225030844
Centracare Clinic is a Multi-specialty in St Cloud, Minnesota. Centracare Clinic practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Centracare Clinic is 1225030844. The last update date is 2022-07-21.
Centracare Clinic's current location address is 1900 Centracare Circle, St Cloud, Minnesota. You can contact this provider via phone number 3206543630 and fax number 3206543667. The mailing address for Centracare Clinic is 1900 Centracare Circle, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centracare Clinic |
|---|---|
| Address | 1900 Centracare Circle, St Cloud, Minnesota |
| Phone Number | 3206543630 |
| Fax Number | 3206543667 |
| 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 | 1225030844 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1900 Centracare Circle |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563035000 |
| Phone Number | 3206543630 |
| Fax Number | 3206543667 |
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 |
|---|---|---|---|
| 52720300 | MN | -- | |
| NA139 | PREF ONE | ||
| 35580 | HEALTH PARTNERS | ||
| 110382 | UCARE | ||
| 98-12146 | MEDICA | ||
| 50A45CE | BCBS | ||
| 50A61CE | BCBS |
Post Comment/ Review Below
What is the Centracare Clinic's 1225030844?
The Centracare Clinic's NPI (National Provider Identifier) Number is 1225030844. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Centracare Clinic's physical address?
The Centracare Clinic is physically located at 1900 Centracare Circle, in the city of St Cloud, MN, with the postal code 563035000.
What is Centracare Clinic's area of expertise and its corresponding taxonomy classification?
The Centracare Clinic's field of specialization is Multi-specialty, and it falls under the taxonomy code 261Qm1300X, which categorizes healthcare providers based on their areas of practice.
On what date did Centracare Clinic receive its 1225030844 assignment from the Centers for Medicare & Medicaid Services?
The Centracare Clinic was assigned its 1225030844 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Centracare Clinic most recently updated or revised?
The details related to Centracare Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.