Centra Care Family Health Center
LBN: St. Cloud Hospital
Centra Care Family Health Center is an health care organization with primary practice located at 1555 Northway Drive Suite 200, St Cloud MN 56303-4913. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
St. Cloud Hospital can be contacted via phone (320) 240-3157, or through Blair, Michael A. via phone (320) 255-5665.
Contact Information
Primary practice address
1555 Northway Drive Suite 200
St Cloud MN 56303-4913
Phone: (320) 240-3157
Fax: (320) 240-3143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 331506 | Minnesota |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1770532426 |
|---|---|
| LBN Legal business name | St. Cloud Hospital |
| DBA Doing business as | Centra Care Family Health Center |
| Authorized official | Blair, Michael A. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770532426 | NPPES |
| Minnesota | MEDICAID | 616053100 | |
| Minnesota | Other | 690000070 | |
| Minnesota | Other | RR MEDICARE |
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