| St. Cloud State University Medical Clinic And Pharmacy | |
|
720 4th Ave S Saint Cloud MN 56301-4442 | |
| (320) 308-3193 | |
| (320) 308-3192 |
| Full Name | St. Cloud State University Medical Clinic And Pharmacy |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 720 4th Ave S, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Kimberly Ohmann (ASSCOATE DIRECTOR) |
| Authorized Official Contact | 3203084872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Cloud State University Medical Clinic And Pharmacy 720 4th Ave S Saint Cloud MN 56301-4442 Ph: (320) 308-3193 | St. Cloud State University Medical Clinic And Pharmacy 720 4th Ave S Saint Cloud MN 56301-4442 Ph: (320) 308-3193 |
| NPI Number | 1013993401 |
|---|---|
| Provider Enumeration Date | 12/19/2005 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013993401 | NPI | - | NPPES |
| 1013993401 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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