| |
1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 | |
(320) 229-4917 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1900 Centracare Cir, Saint Cloud, Minnesota |
Authorized Official Name and Position | Thomas M Feldhege (CFO/TREASURER) |
Authorized Official Contact | 3202402152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 Ph: (320) 229-4917 | 1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 Ph: (320) 229-4917 |
NPI Number | 1457405763 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 09/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457405763 | NPI | - | NPPES |
990228700 | Medicaid | MN | |
052720300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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