Organization
CARRIS HEALTH LLC
Active
Other names
CentraCare - Rice Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLAIR (CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
(320) 231-4971
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 235-4543
(320) 231-4971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/07/2017
Last updated
03/03/2025
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