ST. CLOUD HOSPITAL NPI 1821047317

NPI Information

NPI: 1821047317
Provider Name: ST. CLOUD HOSPITAL

Doing Business As: CENTRACARE KIDNEY PROGRAM-PLAZA

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2035 15TH ST N
SUITE 220
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 251-2700
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ST. CLOUD HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Saint Cloud, MN. ST. CLOUD HOSPITAL NPI is 1821047317. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Kidney Program-plaza.

The provider's business location address is:

2035 15TH ST N
SUITE 220
SAINT CLOUD, MN
ZIP 56303-738
Phone: (320) 251-2700
Fax: (320) 656-7009

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

The enumeration date for this NPI number is 5/10/2006 and was last updated on 10/10/2019.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	331506	MINNESOTA	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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	883747300	MEDICAID	MINNESOTA

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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