Organization
CENTRACARE CLINIC
Active
Parent organization
CENTRACARE CLINIC
Other names
CentraCare Occupational Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRACARE CLINIC
Authorized official
MICHAEL BLAIR (CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-9675
(320) 240-2189
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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