| Centracare Clinic | |
|
3701 12th St N Suite 100 Saint Cloud MN 56303-2255 | |
| (320) 253-7257 | |
| (320) 251-2938 |
| Full Name | Centracare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3701 12th St N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Michael A 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 Clinic 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 252-5131 | Centracare Clinic 3701 12th St N Suite 100 Saint Cloud MN 56303-2255 Ph: (320) 253-7257 |
| NPI Number | 1164978219 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 05/21/2025 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20170811001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164978219 | NPI | - | NPPES |
| 6D053CE | Other | MN | BLUE CROSS BLUE SHIELD |
| 98-04122 | Other | MN | MEDICA |
| 110890 | Other | MN | UCARE |
| 35580 | Other | MN | HEALTH PARTNERS |
| 990228700 | Other | MN | MEDICAID |
| N002912 | Other | MN | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Primary |
Centracare Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 12th St N Ste 102, Saint Cloud, MN 56303 Phone: 320-656-7195 | |
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 System 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 | |
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