St Cloud Medical Group Pa

LBN: St Cloud Medical Group Pa
St Cloud Medical Group Pa is an health care organization with primary practice located at 251 County Road 120 , Saint Cloud MN 56303-4872. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. St Cloud Medical Group Pa can be contacted via phone (320) 202-8949, or through Tacl, Christopher via phone (320) 202-8949.

Contact Information

Primary practice address
251 County Road 120 Saint Cloud MN 56303-4872
Phone: (320) 202-8949
Fax: (320) 202-0756
Website:
Map and Directions
Authorized official contact:
Name: Tacl, Christopher Doctor of Medicine (MD)
Phone: (320) 202-8949

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1487690996
LBN Legal business name St Cloud Medical Group Pa
DBA Doing business as
Authorized official Tacl, Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 6th, 2011 - about 13 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 1487690996 NPPES
Minnesota MEDICAID 175710500

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