MINNESOTA STATE COLLEGE AND UNIVERSITIES NPI 1013993401

NPI Information

NPI: 1013993401
Provider Name: MINNESOTA STATE COLLEGE AND UNIVERSITIES

Doing Business As: ST. CLOUD STATE UNIVERSITY MEDICAL CLINIC AND PHARMACY

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
720 4TH AVE S
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 308-3193
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MINNESOTA STATE COLLEGE AND UNIVERSITIES is a student health clinic center in Saint Cloud, MN. MINNESOTA STATE COLLEGE AND UNIVERSITIES NPI is 1013993401. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Cloud State University Medical Clinic And Pharmacy.

The provider's business location address is:

720 4TH AVE S
SAINT CLOUD, MN
ZIP 56301-442
Phone: (320) 308-3193
Fax: (320) 308-3192

The provider's authorized official is Kimberly Ohmann .
The authorized official title is Asscoate Director and has the following contact phone number (320) 308-4872.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 10/28/2020.

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	261QS1000X	Clinic/Center	Student Health			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	1013993401	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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