Centracare Kidney Program
LBN: St Cloud Hospital
Centracare Kidney Program is an health care organization with primary practice located at 1406 6Th Ave North , Saint Cloud MN 56303-1900. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty.
St Cloud Hospital 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 North
Saint Cloud MN 56303-1900
Phone: (320) 251-2700
Fax: (320) 656-7009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 331506 | Minnesota |
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1629027123 |
|---|---|
| LBN Legal business name | St Cloud Hospital |
| DBA Doing business as | Centracare Kidney Program |
| Authorized official | Klugherz, Gregory R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629027123 | NPPES |
| Minnesota | MEDICAID | 883747300 |
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