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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487690996 | NPPES |
| Minnesota | MEDICAID | 175710500 |
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