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).
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 |
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 Name | Type Code |
---|---|
CentraCare Kidney Program - Litchfield | Doing Business As Name - Organization |
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 |
Street Address |
520 HWY 12 EAST SUITE 6 |
City | LITCHFIELD |
State | MN |
Zip Code | 55355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
1316419377 | Meeker-mcleod-sibley Community Health Services | Preventive Medicine | 114 North Holbombe Ave, Litchfield, MN 55355 | 2018-12-31 |
1275009086 | Joyce Lin Knieff | Acupuncturist | 703 N Holcombe Ave, Litchfield, MN 55355 | 2018-10-18 |
1154861839 | Cornerstone Care | Home Health | 23766 570th Ave, Litchfield, MN 55355 | 2017-03-01 |
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 |
Find all providers in zip 55355 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184683138 | Dva Renal Healthcare Inc | Clinic/Center | 915 Saint Francis Way, Litchfield, IL 62056-1775 | 2006-03-20 |
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 |
Find all providers with the same taxonomy |
City | LITCHFIELD |
Zip Code | 55355 |
Please comment or provide details below to improve the information on ST. CLOUD HOSPITAL.
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.