Organization
ST. CLOUD HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT & CFO)
(320) 307-3676
Entity
Organization
Contact information
Practice address
1406 6TH AVE NORTH, SAINT CLOUD, MN 56303-1900
(320) 307-3676
(320) 656-7009
Mailing address
1406 6TH AVE NORTH, SAINT CLOUD, MN 56303-1900
(320) 307-3676
(320) 656-7009
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
331506
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418902
—
MN
05
—
883747300
—
MN
Enumeration date
05/09/2006
Last updated
03/10/2025
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