Centracare - Becker Clinic

LBN: Centracare Clinic

Centracare - Becker Clinic is an health care organization with primary practice located at 12800 Rolling Ridge Centracare Clinic Becker, Becker MN 55308. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Centracare Clinic can be contacted via phone (763) 261-7000, or through Blair, Michael A via phone (320) 255-5665.

Contact Information

Primary practice address

12800 Rolling Ridge Centracare Clinic Becker Becker MN 55308

Phone: (763) 261-7000

Fax:

Website:

Map and Directions

Authorized official contact:

Name: Blair, Michael A

Phone: (320) 255-5665

Health care specialties

Specialty	Code	License #	State
Ambulatory Health Care Facilities / Multi-Specialty	261QM1300X
Suppliers / Durable Medical Equipment & Medical Supplies	332B00000X

Profile Details

NPI number	1710048590
LBN Legal business name	Centracare Clinic
DBA Doing business as	Centracare - Becker Clinic
Authorized official	Blair, Michael A
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	Dec 13th, 2006
Last updated	Nov 19th, 2020 - about 5 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.

Request for update

Identifiers

State	Type	Number	Issuer
All States	NPI	1710048590	NPPES
	Other	NA197	PREF ONE
	MEDICAID	990228700	PREF ONE
	Other	86D71CE	PREF ONE
	Other	35580	PREF ONE
	Other	98-00379	PREF ONE
	Other	120173	PREF ONE

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