Centracare Clinic- Adult & Pediatric Urology

LBN: Centracare Clinic
Centracare Clinic- Adult & Pediatric Urology is an health care organization with primary practice located at 2351 Connecticut Ave S, Suite 200 Centracare Clinic- Adult & Pediatric Urology, Sartell MN 56377-2477. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Centracare Clinic can be contacted via phone (320) 259-1411, or through Blair, Michael A via phone (320) 255-5665.

Contact Information

Primary practice address
2351 Connecticut Ave S, Suite 200 Centracare Clinic- Adult & Pediatric Urology Sartell MN 56377-2477
Phone: (320) 259-1411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blair, Michael A
Phone: (320) 255-5665

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1700281953
LBN Legal business name Centracare Clinic
DBA Doing business as Centracare Clinic- Adult & Pediatric Urology
Authorized official Blair, Michael A
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 30th, 2014
Last updated Nov 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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