Organization · Type 2 NPI

St. Cloud Hospital

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Staples, MN

NPI number 1922057421 Active · reactivated Sep 10, 2024

Practice location

403 East Prairie Ave
Staples, MN 56479

Call (218) 894-0026 Map

Fax (320) 656-7009

Mailing address

1406 6th Ave N
St. Cloud, MN 56303-1900

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center	261QE0700X	331506 (MN)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Other end-stage renal disease (esrd) treatment clinic/center providers in Staples

Fresenius Medical Care Centracare Dialysis, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Staples, MN NPI 1376218230

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NPI record

NPI: 1922057421
Entity type: Organization (Type 2)
Issued: May 10, 2006
Last updated: Sep 10, 2024
Status: Active

Other names

<unavail>
Centracare Kidney Program - Staples Dialysis · doing business as
Centracare Kidney Program - Staples Dialysis · doing business as

Authorized official

Mr. Michael A. Blair
Sr. Vice President and CFO
(320) 255-5665

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922057421

St. Cloud Hospital's National Provider Identifier is 1922057421, issued on May 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Staples, MN. The record was last updated on Sep 10, 2024.