Organization · Type 2 NPI
Centracare Clinic
Medical Specialty Clinic/Center · St. Cloud, MN
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
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None 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
- Angela DeblieckCertified Registered Nurse Anesthetist St. Cloud, MN NPI 1598287641
- Bailey DykemaCertified Registered Nurse Anesthetist St. Cloud, MN NPI 1942717046
- Benjamin Morey, MDAnesthesiology Physician St. Cloud, MN NPI 1629430012
- Bertil LindquistCertified Registered Nurse Anesthetist St. Cloud, MN NPI 1033625561
- Bryce Mieczkowski, DOAnesthesiology Physician St. Cloud, MN NPI 1235518903
- Charles GordonCertified Registered Nurse Anesthetist St. Cloud, MN NPI 1134642655
- David BusheyAnesthesiology Physician St. Cloud, MN NPI 1760918809
- Derek Richard Weiland, MDAnesthesiology Physician St. Cloud, MN NPI 1336320225
- Eric SchoeneckerCertified Registered Nurse Anesthetist St. Cloud, MN NPI 1861914905
- Gabriel Fierro-Fine, MDAnesthesiology Physician St. Cloud, MN NPI 1700223146
- Holly BoxellCertified Registered Nurse Anesthetist St. Cloud, MN NPI 1821516782
- James Richard Tarcon, CRNACertified Registered Nurse Anesthetist St. Cloud, MN NPI 1447724406
Other medical specialty clinic/center providers in St. Cloud
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.