| Centracare - Baxter Specialty Clinic | |
|
7418 Forthun Rd Baxter MN 56425-8702 | |
| (320) 251-2700 | |
| Not Available |
| Full Name | Centracare - Baxter Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7418 Forthun Rd, Baxter, Minnesota |
| Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare - Baxter Specialty Clinic 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: () - | Centracare - Baxter Specialty Clinic 7418 Forthun Rd Baxter MN 56425-8702 Ph: (320) 251-2700 |
| NPI Number | 1679025746 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679025746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 375987 (Minnesota) | Primary |
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