Organization · Type 2 NPI

Centracare Clinic

Community Health Clinic/Center · St. Cloud, MN

NPI number 1770020489 Active

Practice location

2001 Stockinger Drive, Suite 101
St. Cloud, MN 56303

Fax (320) 656-7009

Mailing address

1200 6th Ave N
St. Cloud, MN 56303-2735

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500XNone listed

Community Health Clinic/Center: Definition to come...

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About NPI 1770020489

Centracare Clinic's National Provider Identifier is 1770020489, issued on Jan 20, 2017. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in St. Cloud, MN. The record was last updated on May 11, 2017.