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1360 Elm Street East Centracare Clinic - St Joseph St Joseph MN 56374-4106 | |
(320) 363-7765 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1360 Elm Street East, St Joseph, 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 |
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1200 6th Ave N Saint Cloud MN 56303-2736 Ph: (320) 229-4977 | 1360 Elm Street East Centracare Clinic - St Joseph St Joseph MN 56374-4106 Ph: (320) 363-7765 |
NPI Number | 1134121759 |
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Provider Enumeration Date | 08/12/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2466363395 |
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Medicare Enrollment ID | O20100930056953 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134121759 | NPI | - | NPPES |
NA133 | Other | PREF ONE | |
NA930 | Other | MN | PREF ONE |
990228700 | Medicaid | MN | |
86D71CE | Other | BCBS | |
110964 | Other | UCARE | |
35580 | Other | HEALTH PARTNERS | |
98-01789 | Other | MEDICA |