# CENTRACARE CLINIC

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

## Provider details

- **NPI number:** 1427794171
- **Legal business name:** CENTRACARE CLINIC
- **Authorized official:** MICHAEL BLAIR (CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 1301 33RD ST S, SAINT CLOUD, MN 56301-9668
- **Practice address phone:** (320) 251-9675
- **Practice address fax:** (320) 240-2189
- **Mailing address:** 1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
- **Mailing address phone:** (320) 251-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2022
- **Last updated:** 05/06/2022