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
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 231-4425
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407367030
—
MN
Enumeration date
10/23/2017
Last updated
01/12/2026
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