# CENTRACARE SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midsota Surgical Suites
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194271239
- **Authorized official:** GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 3701 12TH ST N, 101, SAINT CLOUD, MN 56303-2255
- **Practice address phone:** (320) 253-7257
- **Practice address fax:** (320) 257-5671
- **Mailing address:** 1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
- **Mailing address phone:** (320) 229-4964
- **Mailing address fax:** (320) 229-5171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 375987 | MN | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 09/10/2024