# ST. CLOUD HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CentraCare Wound Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841502929
- **Authorized official:** MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT & CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 2035 15TH ST N, SUITE 18, SAINT CLOUD, MN 56303-1738
- **Practice address phone:** (320) 251-2700
- **Mailing address:** 1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
- **Mailing address phone:** (320) 251-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2010
- **Last updated:** 10/08/2019