Centracare Hospice

LBN: St. Cloud Hospital
Centracare Hospice is an health care organization with primary practice located at 110 2Nd St S Ste 104 , Waite Park MN 56387-1367. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. St. Cloud Hospital can be contacted via phone (320) 251-2700, or through Blair, Michael A. via phone (320) 255-5665.

Contact Information

Primary practice address
110 2Nd St S Ste 104 Waite Park MN 56387-1367
Phone: (320) 251-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blair, Michael A.
Phone: (320) 255-5665

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 331506 Minnesota

Profile Details

NPI number 1740340496
LBN Legal business name St. Cloud Hospital
DBA Doing business as Centracare Hospice
Authorized official Blair, Michael A.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740340496 NPPES
Minnesota MEDICAID 081018500

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