Centracare Pharmacy Health Plaza

LBN: St. Cloud Hospital
Centracare Pharmacy Health Plaza is an health care organization with primary practice located at 1900 Centracare Circle Suite 1350, St Cloud MN 56303. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St. Cloud Hospital can be contacted via phone (320) 229-4904, or through Kunkel, Matthew P. via phone (320) 251-2700.

Contact Information

Primary practice address
1900 Centracare Circle Suite 1350 St Cloud MN 56303
Phone: (320) 229-4904
Fax: (320) 229-5168
Website:
Map and Directions
Authorized official contact:
Name: Kunkel, Matthew P.
Phone: (320) 251-2700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2620682 Minnesota

Profile Details

NPI number 1013966175
LBN Legal business name St. Cloud Hospital
DBA Doing business as Centracare Pharmacy Health Plaza
Authorized official Kunkel, Matthew P.
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Apr 20th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013966175 NPPES
Other 2424543 NCPDP
MEDICAID 05092Y800 NCPDP

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