Centracare Clinic - St Jospeh is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in St Joseph, Minnesota. The current practice location for Centracare Clinic - St Jospeh is 1360 Elm Street East, Centracare Clinic - St Joseph, St Joseph, Minnesota. For appointments, you can reach them via phone at
(320) 363-7765. The mailing address for Centracare Clinic - St Jospeh is 1200 6th Ave N, Saint Cloud, Minnesota and phone number is (320) 229-4977.
Centracare Clinic - St Jospeh is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1134121759. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(320) 363-7765.
Primary Care Clinic Profile
| Full Name | Centracare Clinic - St Jospeh |
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| Speciality | Clinic/Center |
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| Location | 1360 Elm Street East, St Joseph, Minnesota |
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| Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
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| Authorized Official Contact | 3202555665 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Centracare Clinic - St Jospeh
1200 6th Ave N
Saint Cloud
MN 56303-2736
Ph: (320) 229-4977 | Centracare Clinic - St Jospeh
1360 Elm Street East
Centracare Clinic - St Joseph
St Joseph
MN 56374-4106
Ph: (320) 363-7765 |
NPI Details:
| NPI Number | 1134121759 |
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| Provider Enumeration Date | 08/12/2005 |
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| Last Update Date | 07/21/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2466363395 |
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| Medicare Enrollment ID | O20100930056953 |
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Medical Identifiers
Medical identifiers for Centracare Clinic - St Jospeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134121759 | NPI | - | NPPES |
| NA133 | Other | | PREF ONE |
| NA930 | Other | MN | PREF ONE |
| 990228700 | Medicaid | MN | |
| 86D71CE | Other | | BCBS |
| 110964 | Other | | UCARE |
| 35580 | Other | | HEALTH PARTNERS |
| 98-01789 | Other | | MEDICA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Minnesota) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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