Organization
CENTRACARE CLINIC
Active
Other names
CentraCare - Baxter Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A BLAIR (SR VP & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
7418 FORTHUN RD, BAXTER, MN 56425-8702
(320) 251-2700
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
375987
MN
Other
Enumeration date
10/25/2016
Last updated
06/23/2025
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