St. Cloud State University Health Service

LBN: Minnesota State Colleges
St. Cloud State University Health Service is an health care organization with primary practice located at 251 6Th St S , Saint Cloud MN 56301-4491. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Minnesota State Colleges can be contacted via phone (320) 308-4852, or through Leaf, Lynn via phone (320) 308-4852.

Contact Information

Primary practice address
251 6Th St S Saint Cloud MN 56301-4491
Phone: (320) 308-4852
Fax: (320) 308-4878
Website:
Map and Directions
Authorized official contact:
Name: Leaf, Lynn BS
Phone: (320) 308-4852

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 200814 Minnesota

Profile Details

NPI number 1073581302
LBN Legal business name Minnesota State Colleges
DBA Doing business as St. Cloud State University Health Service
Authorized official Leaf, Lynn BS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Oct 11th, 2016 - about 10 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 1073581302 NPPES
Other 2045128 PK
MEDICAID 492760500 PK

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