CENTRACARE SURGERY CENTER NPI 1194271239

NPI Information

NPI: 1194271239
Provider Name: CENTRACARE SURGERY CENTER

Doing Business As: MIDSOTA SURGICAL SUITES

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3701 12TH ST N
101
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 253-7257
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CENTRACARE SURGERY CENTER is an ambulatory surgical clinic center in Saint Cloud, MN. CENTRACARE SURGERY CENTER NPI is 1194271239. The provider is registered as an organization entity type.
The provider Is Doing Business As Midsota Surgical Suites.

The provider's business location address is:

3701 12TH ST N
101
SAINT CLOUD, MN
ZIP 56303-255
Phone: (320) 253-7257
Fax: (320) 257-5671

The provider's authorized official is Gregory R Klugherz .
The authorized official title is Vice President And Cfo and has the following contact phone number (320) 255-5665.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 9/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	375987	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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