# CENTRACARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRACARE CLINIC
- **Other names:** CentraCare Sleep Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295910727
- **Legal business name:** CENTRACARE CLINIC
- **Authorized official:** MR. MICHAEL A BLAIR (SR VP & CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 1586 COUNTY ROAD 134, CENTRACARE CLINIC SLEEP CENTER, ST CLOUD, MN 56303
- **Practice address phone:** (320) 251-2700
- **Mailing address:** PO BOX 735818, CHICAGO, IL 60673-5818
- **Mailing address phone:** (320) 229-4977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 09/17/2026