<Unavail>
LBN: Centracare Clinic
<Unavail> is an health care organization with primary practice located at 3701 12Th St N Suite 100, Saint Cloud MN 56303-2255. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Centracare Clinic can be contacted via phone (320) 253-7257, or through Blair, Michael A via phone (320) 255-5665.
Contact Information
Primary practice address
3701 12Th St N Suite 100
Saint Cloud MN 56303-2255
Phone: (320) 253-7257
Fax: (320) 251-2938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Minnesota |
Profile Details
| NPI number | 1164978219 |
|---|---|
| LBN Legal business name | Centracare Clinic |
| DBA Doing business as | <Unavail> |
| Authorized official | Blair, Michael A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2016 |
| Last updated | Jun 23rd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164978219 | NPPES |
| Minnesota | Other | 6D053CE | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 98-04122 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | N002912 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 990228700 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 110890 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 35580 | BLUE CROSS BLUE SHIELD |
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