Organization
ST. CLOUD HOSPITAL
Active
Other names
EXTENDED CONTRACT INPT PSYCH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A. BLAIR (SR. VICE PRESIDENT & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7009
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7009
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2019
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