Organization
CENTRACARE HEALTH SYSTEM - MELROSE
Active
Other names
CentraCare Health - Melrose Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
525 W. MAIN STREET, MELROSE, MN 56352-1071
(320) 256-4231
(320) 256-4949
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
330997
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0637450
—
MN
Enumeration date
05/03/2006
Last updated
10/10/2019
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