Organization · Type 2 NPI

Centracare Clinic

Medical Specialty Clinic/Center · St. Cloud, MN

NPI number 1790201739 Active

Practice location

3701 12th St N Ste 202
St. Cloud, MN 56303-2253

Mailing address

PO Box 735818
Chicago, IL 60673-5818

Other practice locations

  • 1200 6th Ave N, St. Cloud, MN 56303-2735 · (320) 252-5131

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

28 other providers at this address

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About NPI 1790201739

Centracare Clinic's National Provider Identifier is 1790201739, issued on Aug 22, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in St. Cloud, MN. The record was last updated on Sep 14, 2026.