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Contact Information

CENTRACARE CLINIC
2001 STOCKINGER DR STE 101
SAINT CLOUD, MN56303-1243
 Phone: 320-534-3096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

261QC1500X
 

Acupuncturist

171100000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for CENTRACARE CLINIC

NPI # 1134665359
LBN Legal business name CENTRACARE CLINIC
Authorized official MICHAEL BLAIR - (SR VP & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2017
Last updated 06/23/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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