Organization
CENTRACARE CLINIC MELROSE
Active
Organization
CENTRACARE CLINIC MELROSE
Active
Parent organization
CENTRACARE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRACARE CLINIC
Authorized official
THOMAS M FELDHEGE (TREASURER DIRECTOR OF FINANCE)
(320) 240-2152
Entity
Organization
Contact information
Practice address
525 W MAIN ST, MELROSE, MN 56352
(320) 256-4228
(320) 256-7106
Mailing address
525 W MAIN ST, MELROSE, MN 56352
(320) 256-4228
(320) 256-7106
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109966
UCARE
—
01
—
35580
HEALTH PARTNERS
—
01
—
47A46CE
BCBS
—
01
—
98-01249
MEDICA
—
01
—
NA135
PREF ONE
—
Enumeration date
08/12/2005
Last updated
07/21/2022
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