| Centracare - Coordinated Care Clinic | |
|
3701 12th St N Ste 102 Saint Cloud MN 56303-2253 | |
| (320) 656-7195 | |
| Not Available |
| Full Name | Centracare - Coordinated Care Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3701 12th St N Ste 102, 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 - Coordinated Care Clinic Po Box 735818 Chicago IL 60673-5818 Ph: (320) 252-5131 | Centracare - Coordinated Care Clinic 3701 12th St N Ste 102 Saint Cloud MN 56303-2253 Ph: (320) 656-7195 |
| NPI Number | 1003339789 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 09/14/2026 |
| Certification Date | 09/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003339789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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 Community Paramedic 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 Neurosciences Headache Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2829 Fax: 320-240-2830 |
Centracare - Midsota Plastic Surgery 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 |