# ST. CLOUD HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Cloud Hospital Behavioral Health - Sartell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083161814
- **Authorized official:** MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 166 19TH ST S, SUITE 201, SARTELL, MN 56377-4654
- **Practice address phone:** (320) 656-7074
- **Mailing address:** 1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
- **Mailing address phone:** (320) 656-7047
- **Mailing address fax:** (320) 200-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 380510 | MN | Yes |

## Other

- **Enumeration date:** 09/09/2016
- **Last updated:** 09/10/2024