| |
1900 Centracare Circle Centracare Clinic-women & Children St Cloud MN 56303-5000 | |
(320) 654-3630 | |
(320) 654-3667 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1900 Centracare Circle, St Cloud, Minnesota |
Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 6th Ave N Saint Cloud MN 56303-2736 Ph: (320) 229-4977 | 1900 Centracare Circle Centracare Clinic-women & Children St Cloud MN 56303-5000 Ph: (320) 654-3630 |
NPI Number | 1225030844 |
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Provider Enumeration Date | 08/12/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225030844 | NPI | - | NPPES |
052720300 | Medicaid | MN | |
NA139 | Other | PREF ONE | |
35580 | Other | HEALTH PARTNERS | |
110382 | Other | UCARE | |
98-12146 | Other | MEDICA | |
50A45CE | Other | BCBS | |
50A61CE | Other | BCBS |