CENTRACARE SURGERY CENTER LLC NPI 1861538613

NPI Information

NPI: 1861538613
Provider Name: CENTRACARE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 24D1064699

Address:
1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 229-4964
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CENTRACARE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Saint Cloud, MN. CENTRACARE SURGERY CENTER, LLC NPI is 1861538613. The provider is registered as an organization entity type.

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 229-4964
Fax: (320) 229-5171

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 CLIA number assigned to this NPI record is 24D1064699 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/26/2015.

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			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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