Centracare Kidney Program

LBN: St Cloud Hospital
Centracare Kidney Program is an health care organization with primary practice located at 1406 6Th Ave North , Saint Cloud MN 56303-1900. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. St Cloud Hospital can be contacted via phone (320) 251-2700, or through Klugherz, Gregory R via phone (320) 255-5665.

Contact Information

Primary practice address
1406 6Th Ave North Saint Cloud MN 56303-1900
Fax: (320) 656-7009
Website:
Authorized official contact:
Name: Klugherz, Gregory R

Profile Details

NPI number 1629027123
LBN Legal business name St Cloud Hospital
DBA Doing business as Centracare Kidney Program
Authorized official Klugherz, Gregory R
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Jul 17th, 2017 - about 8 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 1629027123 NPPES
Minnesota MEDICAID 883747300

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