| Centracare - St Cloud Medical Group South | |
|
1301 33rd St S Saint Cloud MN 56301-9668 | |
| (320) 251-8181 | |
| (320) 257-1733 |
| Full Name | Centracare - St Cloud Medical Group South |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 33rd St S, 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 - St Cloud Medical Group South 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 252-5131 | Centracare - St Cloud Medical Group South 1301 33rd St S Saint Cloud MN 56301-9668 Ph: (320) 251-8181 |
| NPI Number | 1669994315 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20171017001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669994315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Centracare - Coordinated Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 Phone: 320-255-7195 Fax: 320-200-3245 | |
Centracare Health Community Paramedic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-255-5711 | |
Midsota Plastic & Reconstructive Surgeons Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 100, Saint Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-257-5671 | |
Indigo Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 25th Ave N Ste B1-119, Saint Cloud, MN 56303 Phone: 612-703-5479 | |
Memory Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 W Saint Germain St, Saint Cloud, MN 56301 Phone: 320-257-1777 Fax: 320-257-1776 | |
New American Adult Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 25th Ave S Ste 104, Saint Cloud, MN 56301 Phone: 612-255-0846 | |
Center For Life Transitions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 24th Ave N, Saint Cloud, MN 56303 Phone: 320-746-0025 |