ST CLOUD HOSPITAL NPI 1043757404

NPI Information

NPI: 1043757404
Provider Name: ST CLOUD HOSPITAL

Doing Business As: CENTRACARE KIDNEY PROGRAM - SOUTH ST CLOUD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
30 25TH AVE S
SAINT CLOUD, MN
ZIP 56301
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 1043757404. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Kidney Program - South St Cloud.

The provider's business location address is:

30 25TH AVE S
SAINT CLOUD, MN
ZIP 56301-285
Phone: (320) 251-2700

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 1/24/2017 and was last updated on 1/24/2017.

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		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

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