| Centracare - Sartell Clinic | |
|
251 County Road 120 Saint Cloud MN 56303-4872 | |
| (320) 202-8949 | |
| (320) 257-1733 |
| Full Name | Centracare - Sartell Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 251 County Road 120, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Michael Blair (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 - Sartell Clinic 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 252-5131 | Centracare - Sartell Clinic 251 County Road 120 Saint Cloud MN 56303-4872 Ph: (320) 202-8949 |
| NPI Number | 1689196339 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20171017000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689196339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Minnesota) | Primary |
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