CENTRACARE CLINIC; NPI #1558898387

Contact Information

CENTRACARE CLINIC

161 GLEN ST., STE 101
FOLEY, MN 56329

Phone: 320-656-7128
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for CENTRACARE CLINIC

NPI Number	`1558898387`
LBN Legal business name	CENTRACARE CLINIC
Authorized official	MICHAEL BLAIR - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/11/2017
Last updated	02/20/2023 - About 3 years 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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