| Centracare Neurosciences Headache Center | |
|
1900 Centracare Cir Saint Cloud MN 56303-5000 | |
| (320) 240-2829 | |
| (320) 240-2830 |
| Full Name | Centracare Neurosciences Headache Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1900 Centracare Cir, Saint Cloud, 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 Neurosciences Headache Center Po Box 735818 Chicago IL 60673-5818 Ph: (320) 229-4977 | Centracare Neurosciences Headache Center 1900 Centracare Cir Saint Cloud MN 56303-5000 Ph: (320) 240-2829 |
| NPI Number | 1134665359 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 09/14/2026 |
| Certification Date | 09/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134665359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (NU) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 171100000X | Acupuncturist | (NU) | Secondary |
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