Centracare Kidney Program - Little Falls Dialysis

LBN: St. Cloud Hospital
Centracare Kidney Program - Little Falls Dialysis is an health care organization with primary practice located at 808 3Rd St Se , Little Falls MN 56345. 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) 632-1191, or through Blair, Michael A. via phone (320) 255-5665.

Contact Information

Primary practice address
808 3Rd St Se Little Falls MN 56345
Phone: (320) 632-1191
Fax: (320) 656-7009
Website:
Map and Directions
Authorized official contact:
Name: Blair, Michael A.
Phone: (320) 255-5665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 331506 Minnesota

Profile Details

NPI number 1710936216
LBN Legal business name St. Cloud Hospital
DBA Doing business as Centracare Kidney Program - Little Falls Dialysis
Authorized official Blair, Michael A.
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Oct 8th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710936216 NPPES
Minnesota MEDICAID 883747300

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