| Centracare Urgency Center | |
|
1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 | |
| (320) 229-4917 | |
| Not Available |
| Full Name | Centracare Urgency Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1900 Centracare Cir, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Thomas M Feldhege (CFO/TREASURER) |
| Authorized Official Contact | 3202402152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare Urgency Center 1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 Ph: (320) 229-4917 | Centracare Urgency Center 1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 Ph: (320) 229-4917 |
| NPI Number | 1457405763 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/10/2024 |
| Certification Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457405763 | NPI | - | NPPES |
| 052720300 | Medicaid | MN | |
| 990228700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (NU) | Secondary |
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