ST. CLOUD HOSPITAL


Address: 520 Hwy 12 East, Suite 6, Litchfield, MN 55355
Phone: 3202407808

ST. CLOUD HOSPITAL (NPI# 1033391099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033391099
Entity Type Organization
Organization Name ST. CLOUD HOSPITAL
Other Organization Name CENTRACARE KIDNEY PROGRAM - LITCHFIELD
Practice Address 520 Hwy 12 East
Suite 6
Litchfield
MN 55355
Mailing Address 1406 6th Ave N
Saint Cloud
MN 56303-1900
Practice Telephone 3202407808
Practice Fax Number 3202407840
Mailing Telephone 3202407808
Mailing Fax Number 3202407840
Enumeration Date 2007-12-03
Last Update Date 2019-10-10
Authorized Official Name MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
Authorized Official Telephone 3202555665
Is Organization Subpart Y
Parent Organization Name ST CLOUD HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CentraCare Kidney Program - Litchfield Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841616877 St. Cloud Hospital Substance Abuse Rehabilitation Facility 1495 10th Ave Ne, Sauk Rapids, MN 56379 2014-03-14
1912338666 St. Cloud Hospital Rehabilitation, Substance Use Disorder Unit 1428 2nd St N, Sauk Rapids, MN 56379-2533 2013-12-06
1780020925 St. Cloud Hospital Substance Abuse Rehabilitation Facility 1572 Co Rd 134, St. Cloud, MN 56303-0346 2013-05-15
1811150618 St. Cloud Hospital Rehabilitation, Substance Use Disorder Unit 1564 Cty Rd 134, St Cloud, MN 56303-0346 2008-07-02
1427218957 St. Cloud Hospital Substance Abuse Rehabilitation Facility 1485 10th Ave Ne, Sauk Rapids, MN 56379-9838 2008-06-09
1316063233 St. Cloud Hospital Clinic/Center 520 11th Ave Sw, South Building, Cambridge, MN 55008-2003 2007-03-22
1912956400 St. Cloud Hospital Clinic/Center 2024 So 6th St, Brainerd, MN 56401 2006-05-10
1821047317 St. Cloud Hospital Clinic/Center 2035 15th St N, Suite 220, Saint Cloud, MN 56303-1738 2006-05-10
1760431266 St. Cloud Hospital Clinic/Center 111 17th Ave East, Alexandria, MN 56308 2006-05-10
1730138223 St. Cloud Hospital Clinic/Center 112 S Rum River Dr, Princeton, MN 55371-1816 2006-05-10

Office Location

Street Address 520 HWY 12 EAST
SUITE 6
City LITCHFIELD
State MN
Zip Code 55355

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NPI Name Taxonomy Address Enumeration
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1427420744 Pathways Therapeutic Services, LLC Social Worker 621 Sibley Ave South, Litchfield, MN 55355 2015-10-26
1982002663 Emily Brookshaw Physical Therapist 612 South Sibley Avenue, Litchfield, MN 55355 2014-12-12
1275882771 Patricia Judith Finnegan-baker Pharmacist 59563 300th St, Litchfield, MN 55355 2012-08-30
1972832301 Tracy Madsen Registered Nurse 114 N. Holcombe, Litchfield, MN 55355 2009-12-14
1144495391 David Edward Schlack Psychologist 1326 East Ripley Street, Litchfield, MN 55355 2008-04-29
1124212873 Jacy 2, LLC Substance Abuse Rehabilitation Facility 319 Csah #20, Litchfield, MN 55355 2007-09-05
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184683138 Dva Renal Healthcare Inc Clinic/Center 915 Saint Francis Way, Litchfield, IL 62056-1775 2006-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770183832 Bio-medical Applications of Minnesota, Inc. Clinic/Center 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 2020-10-28
1902392111 Chaffee Dialysis LLC Clinic/Center 862 Arcade St, Saint Paul, MN 55106 2018-07-11
1225541055 Bio-medical Applications of Minnesota, Inc. Clinic/Center 7433 Currell Blvd, Woodbury, MN 55125-2217 2017-11-15
1154856839 Avera Marshall Clinic/Center 300 S Bruce St Ste D, Marshall, MN 56258-1934 2017-05-01
1225573777 Atlantic Dialysis LLC Clinic/Center 1802 Commerce Dr, North Mankato, MN 56003-1800 2016-12-19
1437694981 Atlantic Dialysis LLC Clinic/Center 701 N Broadway St, New Ulm, MN 56073-1201 2016-12-19
1467801860 Total Renal Care, Inc. Clinic/Center 20184 Heritage Dr, Lakeville, MN 55044-6855 2016-06-07
1003292392 Bio-medical Applications of Minnesota, Inc. Clinic/Center 17592 Dodd Blvd, Lakeville, MN 55044-3909 2015-08-10
1629461470 Babler Dialysis, LLC Clinic/Center 2660 S Broadway, Ste A, Rochester, MN 55904-6263 2015-03-17
1588067391 Meesa Dialysis LLC Clinic/Center 245 Isle St W, Isle, MN 56342-4908 2014-10-07
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Competitor

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City LITCHFIELD
Zip Code 55355

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Dataset Information

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.

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