| Centracare - Becker Clinic | |
|
12800 Rolling Ridge Centracare Clinic Becker Becker MN 55308 | |
| (763) 261-7000 | |
| Not Available |
| Full Name | Centracare - Becker Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12800 Rolling Ridge, Becker, Minnesota |
| Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare - Becker Clinic 1200 6th Ave N Saint Cloud MN 56303-2736 Ph: (320) 229-4977 | Centracare - Becker Clinic 12800 Rolling Ridge Centracare Clinic Becker Becker MN 55308 Ph: (763) 261-7000 |
| NPI Number | 1710048590 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20100930100480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710048590 | NPI | - | NPPES |
| NA197 | Other | PREF ONE | |
| 990228700 | Medicaid | MN | |
| 86D71CE | Other | BCBS | |
| 35580 | Other | HEALTH PARTNERS | |
| 98-00379 | Other | MEDICA | |
| 120173 | Other | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Total Health Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12535 Hillside Ln Se, Becker, MN 55308 Phone: 320-420-0254 |