| Centracare Health - Benson Llc | |
|
1815 Wisconsin Ave Benson MN 56215-1653 | |
| (320) 843-4232 | |
| Not Available |
| Full Name | Centracare Health - Benson Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1815 Wisconsin Ave, Benson, Minnesota |
| Authorized Official Name and Position | Michael Blair (SR. VP/CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare Health - Benson Llc 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 251-2700 | Centracare Health - Benson Llc 1815 Wisconsin Ave Benson MN 56215-1653 Ph: (320) 843-4232 |
| NPI Number | 1023728516 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 1850761685 |
|---|---|
| Medicare Enrollment ID | O20230112000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023728516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Swift County Benson Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 Wisconsin Ave, Benson, MN 56215 Phone: 320-843-4232 Fax: 320-843-4172 |