| Centracare Clinic | |
|
1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 | |
| (320) 229-4917 | |
| Not Available |
| Full Name | Centracare Clinic |
|---|---|
| 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 Clinic 1900 Centracare Cir Suite 1450 Saint Cloud MN 56303-5000 Ph: (320) 229-4917 | Centracare Clinic 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457405763 | NPI | - | NPPES |
| 990228700 | Medicaid | MN | |
| 052720300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Centracare Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 12th St N Ste 102, Saint Cloud, MN 56303 Phone: 320-656-7195 | |
Aba Community Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Wilson Ave Ne Ste 101, Saint Cloud, MN 56304 Phone: 320-420-3168 Fax: 320-968-1251 | |
Centracare Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-255-5711 | |
Hayat Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3405 3rd St N, Saint Cloud, MN 56303 Phone: 320-774-1041 Fax: 320-774-1049 | |
Good Samaritan Assisted Living Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 12th Ave N, Saint Cloud, MN 56303 Phone: 320-224-0027 | |
Centracare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 100, Saint Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Indigo Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 25th Ave N Ste B1-119, Saint Cloud, MN 56303 Phone: 612-703-5479 |