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Contact Information

ST. CLOUD HOSPITAL
1406 SIXTH AVENUE NORTH
SAINT CLOUD, MN56303
 Phone: 320-255-5670
 Fax: 320-255-5793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. CLOUD HOSPITAL

NPI # 1093771818
LBN Legal business name ST. CLOUD HOSPITAL
Authorized official MATTHEW KUNKEL - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2006
Last updated 04/20/2022 - About 4 years ago
Identifiers
MN License # 2619279
MN Medicaid 400640200
Other 2423894 NCPDP
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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