| Centracare Health System - Melrose | |
|
525 W Main St Melrose MN 56352-1043 | |
| (320) 256-4231 | |
| (320) 256-4949 |
| Full Name | Centracare Health System - Melrose |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 W Main St, Melrose, Minnesota |
| Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT AND 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 System - Melrose 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 256-4231 | Centracare Health System - Melrose 525 W Main St Melrose MN 56352-1043 Ph: (320) 256-4231 |
| NPI Number | 1730407586 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 10/10/2019 |
| Medicare PECOS PAC ID | 1658270368 |
|---|---|
| Medicare Enrollment ID | O20110505000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730407586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Centracare Health Services Of Melrose Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W Main St, Melrose, MN 56352 Phone: 320-256-4231 Fax: 320-256-4949 |