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Organization
CENTRACARE CLINIC
Active
Organization
CENTRACARE CLINIC
Active
Parent organization
CENTRACARE CLINIC
Other names
CentraCare - Cold Spring Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRACARE CLINIC
Authorized official
MICHAEL A BLAIR (SR VP & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
402 RED RIVER AVE N STE 2, COLD SPRING, MN 56320-1523
(320) 685-8641
(320) 685-4020
Mailing address
PO BOX 735818, CHICAGO, IL 60673-5818
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
09/14/2026
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