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Organization

CENTRACARE HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BLAIR (CFO)
(320) 255-5665
Entity
Organization

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 240-2102
(320) 656-7099
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 240-2102
(320) 656-7099

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
331506
MN
251G00000X
Community Based Hospice Care Agency
331506
MN
261Q00000X
Clinic/Center
261QA1903X
Ambulatory Surgical Clinic/Center
273R00000X
Psychiatric Hospital Unit
331506
MN
273Y00000X
Rehabilitation Hospital Unit
331506
MN
275N00000X
Medicare Defined Swing Bed Hospital Unit
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
282N00000X
General Acute Care Hospital
Primary
331506
MN
282NC0060X
Critical Access Hospital
330997
MN
282NC0060X
Critical Access Hospital
331051
MN
291U00000X
Clinical Medical Laboratory
24D0405790
MN
310400000X
Assisted Living Facility
311500000X
Alzheimer Center (Dementia Center)
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
11/21/2007
Last updated
01/26/2026
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