Organization
ST. CLOUD HOSPITAL
Active
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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