Organization
MINNESOTA STATE COLLEGES AND UNIVERSITIES
Active
Parent organization
MINNESOTA STATE COLLEGE AND UNIVERSITIES
Other names
St. Cloud State University Medical Clinic and Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA STATE COLLEGE AND UNIVERSITIES
Authorized official
KIMBERLY OHMANN (ASSCOATE DIRECTOR)
(320) 308-4872
Entity
Organization
Contact information
Practice address
850 FIRST AVENUE SOUTH, SAINT CLOUD, MN 56301-4442
(320) 308-3191
(320) 308-3192
Mailing address
720 4TH AVE S, SAINT CLOUD, MN 56301-4442
(320) 308-3191
(320) 308-3192
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013993401
—
MN
Enumeration date
12/19/2005
Last updated
05/13/2024
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