Centracare Health Community Paramedic | |
1406 6th Ave N Saint Cloud MN 56303-1900 | |
(320) 251-2700 | |
(320) 255-5711 |
Full Name | Centracare Health Community Paramedic |
---|---|
Speciality | Clinic/center |
Location | 1406 6th Ave N, Saint Cloud, Minnesota |
Authorized Official Name and Position | Gregory R Klugherz (VICE PRESIDENT AND CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centracare Health Community Paramedic 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 251-2700 | Centracare Health Community Paramedic 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 251-2700 |
NPI Number | 1083164255 |
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Provider Enumeration Date | 10/11/2016 |
Last Update Date | 04/05/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083164255 | NPI | - | NPPES |
6900009424 | Other | MN | RR MEDICARE |
443985600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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