| Centracare - Plaza Clinic | |
|
1900 Centracare Cir Centracare Clinic Health Plaza Saint Cloud MN 56303-5000 | |
| (320) 252-2422 | |
| Not Available |
| Full Name | Centracare - Plaza Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 Centracare Cir, Saint Cloud, 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 - Plaza Clinic 1200 6th Ave N Saint Cloud MN 56303-2736 Ph: (320) 229-4977 | Centracare - Plaza Clinic 1900 Centracare Cir Centracare Clinic Health Plaza Saint Cloud MN 56303-5000 Ph: (320) 252-2422 |
| NPI Number | 1407858020 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20100930034936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407858020 | NPI | - | NPPES |
| 498R1CE | Other | BCBS | |
| 170317 | Other | UCARE | |
| 35580 | Other | HEALTH PARTNERS | |
| 052720300 | Medicaid | MN | |
| NA356 | Other | PREF ONE | |
| 052720303 | Medicaid | MN | |
| 98-00211 | Other | MEDICA |
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