# CENTRACARE HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215118989
- **Authorized official:** MICHAEL BLAIR (CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
- **Practice address phone:** (320) 240-2102
- **Practice address fax:** (320) 656-7099
- **Mailing address:** PO BOX 735816, CHICAGO, IL 60673-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 331506 | MN | — |
| 251G00000X | Community Based Hospice Care Agency | 331506 | MN | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 273R00000X | Psychiatric Hospital Unit | 331506 | MN | — |
| 273Y00000X | Rehabilitation Hospital Unit | 331506 | MN | — |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 331506 | MN | Yes |
| 282NC0060X | Critical Access Hospital | 330997 | MN | — |
| 282NC0060X | Critical Access Hospital | 331051 | MN | — |
| 291U00000X | Clinical Medical Laboratory | 24D0405790 | MN | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 09/17/2026