Organization
CENTRACARE HEALTH SYSTEM - MELROSE
Active
Other names
CentraCare Health - Melrose Clinic
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 ST, MELROSE, MN 56352-1043
(320) 256-4231
(320) 256-4949
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 256-4231
(320) 256-4949
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
10/10/2019
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