MINNESOTA STATE COLLEGE AND UNIVERSITIES (NPI# 1013993401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013993401 |
| Entity Type | Organization |
| Organization Name | MINNESOTA STATE COLLEGE AND UNIVERSITIES |
| Other Organization Name | ST. CLOUD STATE UNIVERSITY MEDICAL CLINIC AND PHARMACY |
| Practice Address |
720 4th Ave S Saint Cloud MN 56301-4442 |
| Practice Telephone | 3203083193 |
| Practice Fax Number | 3203083192 |
| Mailing Telephone | 3203083193 |
| Mailing Fax Number | 3203083192 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | KIMBERLY OHMANN (ASSCOATE DIRECTOR) |
| Authorized Official Telephone | 3203084872 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINNESOTA STATE COLLEGE AND UNIVERSITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1013993401 | 05 |
| Other Name | Type Code |
|---|---|
| St. Cloud State University Medical Clinic and Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| Street Address |
720 4TH AVE S |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754517 | Carrie A Holmes | Family Medicine | 720 4th Ave S, Saint Cloud, MN 56301-4498 | 2005-10-21 |
| 1699312140 | Stacy Ann Solberg | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301-4498 | 2019-12-03 |
| 1588126569 | Elizabeth Solarz | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2019-04-01 |
| 1811452873 | Alexander Bertram | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2019-02-04 |
| 1427577949 | Francisco Javier Garcia | Student in an Organized Health Care Education/Training Program | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2017-09-15 |
| 1780113738 | Christina Marie Brennan | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301 | 2017-06-05 |
| 1770913790 | Rachel Johnson | Specialist/Technologist | 720 4th Ave S, Hah 214, Saint Cloud, MN 56301-4442 | 2013-11-13 |
| 1538383625 | Mary Helen Andreotti | Nurse Practitioner | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2007-04-12 |
| 1154448892 | Brent Nielsen | Family Medicine | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2007-03-26 |
| 1437202884 | Jeffrey Todd Johnson | Specialist/Technologist | 720 4th Ave S, 214 Halenbeck Hall, Saint Cloud, MN 56301-4442 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762754 | Southwest Minnesota State University Student Health Services | Clinic/Center | 1501 State St # Ba158, Marshall, MN 56258-3306 | 2018-12-18 |
| 1619332640 | Rochester Students' Health Services Service Corporation | Clinic/Center | 37 Woodlake Dr Se, Rochester, MN 55904-5509 | 2015-12-17 |
| 1427466234 | Hennepin County | Clinic/Center | 501 Irving Ave N, Minneapolis, MN 55405-1263 | 2014-07-24 |
| 1205145448 | Hennepin County | Clinic/Center | 1500 James Ave N, Minneapolis, MN 55411-3161 | 2010-10-06 |
| 1831408988 | Hennepin County | Clinic/Center | 2210 Oliver Ave N, Minneapolis, MN 55411-1821 | 2010-10-06 |
| 1700199304 | College of St. Benedict | Clinic/Center | 37 College Ave S, Lottie Hall, Saint Joseph, MN 56374-2001 | 2010-07-23 |
| 1215169909 | Trustees of The Hamline University of Minnesota | Clinic/Center | 1513 Englewood Ave, St. Paul, MN 55104-1284 | 2009-08-14 |
| 1497881494 | Hendrix Health Center | Clinic/Center | 1308 9th Ave. S., Moorhead, MN 56560 | 2007-02-26 |
| 1265857460 | Bethel University | Clinic/Center | 3900 Bethel Dr, Msc2376, Saint Paul, MN 55112-6902 | 2014-02-25 |
| 1265671531 | Carleton College | Clinic/Center | 1 N College St, Northfield, MN 55057-4001 | 2009-02-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on MINNESOTA STATE COLLEGE AND UNIVERSITIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.