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CENTRACARE HEALTH SYSTEM NPI 1083164255


NPI Information

NPI: 1083164255
Provider Name: CENTRACARE HEALTH SYSTEM

Doing Business As: CENTRACARE HEALTH COMMUNITY PARAMEDIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 251-2700
Get Directions

CENTRACARE HEALTH SYSTEM is a clinic center in Saint Cloud, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CENTRACARE HEALTH SYSTEM NPI is 1083164255. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Health Community Paramedic.

The provider's business location address is:

1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-900
Phone: (320) 251-2700
Fax: (320) 255-5711

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 10/11/2016 and was last updated on 4/5/2017.


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
1261Q00000XClinic/CenterYes

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
16900009424OTHERMINNESOTARR MEDICARE
2C03318MEDICARE PINMINNESOTA
3443985600MEDICAIDMINNESOTA

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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