Centracare - St Cloud Medical Group South

LBN: Centracare Clinic
Centracare - St Cloud Medical Group South is an health care organization with primary practice located at 1301 33Rd St S , Saint Cloud MN 56301-9668. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Centracare Clinic can be contacted via phone (320) 251-8181, or through Blair, Michael A via phone (320) 255-5665.

Contact Information

Primary practice address
1301 33Rd St S Saint Cloud MN 56301-9668
Phone: (320) 251-8181
Fax: (320) 257-1733
Website:
Map and Directions
Authorized official contact:
Name: Blair, Michael A
Phone: (320) 255-5665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1669994315
LBN Legal business name Centracare Clinic
DBA Doing business as Centracare - St Cloud Medical Group South
Authorized official Blair, Michael A
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2017
Last updated Nov 19th, 2020 - about 6 years ago

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.

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