Organization · Type 2 NPI

Centracare Clinic

Multi-Specialty Clinic/Center · St. Cloud, MN

NPI number 1881696490 Active

Practice location

1555 Northway Dr Ste 100
St. Cloud, MN 56303-1258

Fax (320) 240-3131

Mailing address

PO Box 60673
Chicago, IL 60660-0673

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1881696490

Centracare Clinic's National Provider Identifier is 1881696490, issued on Aug 12, 2005. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in St. Cloud, MN. The record was last updated on Sep 14, 2026.