<Unavail>

LBN: Centracare Health System
<Unavail> is an health care organization with primary practice located at 1406 6Th Ave N , Saint Cloud MN 56303-1900. 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 Health System can be contacted via phone (320) 251-2700, or through Klugherz, Gregory R via phone (320) 255-5665.

Contact Information

Primary practice address
1406 6Th Ave N Saint Cloud MN 56303-1900
Phone: (320) 251-2700
Fax: (320) 255-5711
Website:
Map and Directions
Authorized official contact:
Name: Klugherz, Gregory R
Phone: (320) 255-5665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1083164255
LBN Legal business name Centracare Health System
DBA Doing business as <Unavail>
Authorized official Klugherz, Gregory R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2016
Last updated Apr 5th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083164255 NPPES
Minnesota Other 6900009424 RR MEDICARE
Minnesota MEDICAID 443985600 RR MEDICARE

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