CENTRACARE CLINIC NPI 1407858020

NPI Information

NPI: 1407858020
Provider Name: CENTRACARE CLINIC

Doing Business As: CENTRACARE - PLAZA CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1900 CENTRACARE CIR
CENTRACARE CLINIC HEALTH PLAZA
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-2422
Get Directions

CENTRACARE CLINIC is a multi-specialty clinic center in Saint Cloud, MN. CENTRACARE CLINIC NPI is 1407858020. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare - Plaza Clinic.

The provider's business location address is:

1900 CENTRACARE CIR
CENTRACARE CLINIC HEALTH PLAZA
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 252-2422

The provider's authorized official is Michael A Blair .
The authorized official title is Sr Vp & Cfo and has the following contact phone number (320) 255-5665.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 11/19/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes
2	261QM1300X	Clinic/Center	Multi-Specialty	411086657	MINNESOTA	No
3	261QU0200X	Clinic/Center	Urgent Care			No
4	332B00000X	Durable Medical Equipment & Medical Supplies				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	98-00211	OTHER		MEDICA
2	170317	OTHER		UCARE
3	NA356	OTHER		PREF ONE
4	052720300	MEDICAID	MINNESOTA
5	35580	OTHER		HEALTH PARTNERS
6	052720303	MEDICAID	MINNESOTA
7	498R1CE	OTHER		BCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »