# CENTRACARE HEALTH-PAYNESVILLE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CentraCare Health Paynesville - Cold Spring Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912330663
- **Authorized official:** MICHAEL BLAIR (CFO)
- **Authorized official phone:** (320) 255-5665

## Contact information

- **Practice address:** 308 5TH AVE S, SUITE 100, COLD SPRING, MN 56320-2341
- **Practice address phone:** (320) 685-7787
- **Practice address fax:** (320) 685-7793
- **Mailing address:** 200 W 1ST ST, PAYNESVILLE, MN 56362-1445
- **Mailing address phone:** (320) 243-3767
- **Mailing address fax:** (320) 243-7955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 02/20/2023