ST. CLOUD HOSPITAL (NPI# 1467615294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467615294 |
| Entity Type | Organization |
| Organization Name | ST. CLOUD HOSPITAL |
| Other Organization Name | RECOVERY PLUS ADULT PROGRAM-ST CLOUD HOSPITAL |
| Practice Address |
713 Anderson Ave Saint Cloud MN 56303-2048 |
| Mailing Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
| Practice Telephone | 3202293761 |
| Practice Fax Number | 3206567009 |
| Mailing Telephone | 3202293761 |
| Mailing Fax Number | 3206567009 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 3202555665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 803875 3 CDT | MN | Hospital Units |
| Other Name | Type Code |
|---|---|
| Recovery Plus Adult Program-St Cloud Hospital | 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 |
| 1033391099 | St. Cloud Hospital | Clinic/Center | 520 Hwy 12 East, Suite 6, Litchfield, MN 55355 | 2007-12-03 |
| 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 |
| Street Address |
713 ANDERSON AVE |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406754 | Paula Pick Weathers | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2019-09-18 |
| 1346807393 | Adam Thiel | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2019-05-24 |
| 1992361885 | Jacqueline Mary Wruck | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2019-05-15 |
| 1972065928 | Jon M Holthusen | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2019-04-01 |
| 1750842241 | Jeremy Taylor Krentz | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2019-03-27 |
| 1942704036 | Steve Lungstrom | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2018-03-22 |
| 1710481262 | Amber Kay Swanson | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2018-03-20 |
| 1275032690 | Gail Mattocks | Counselor | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962961599 | Wecare LLC | Rehabilitation, Substance Use Disorder Unit | 2241 Roosevelt Rd Ste 14, Saint Cloud, MN 56301-4536 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376013953 | Complete Assessments LLC | Rehabilitation, Substance Use Disorder Unit | 340 5th Ave Sw, Hutchinson, MN 55350 | 2018-11-27 |
| 1912338666 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 1428 2nd St N, Sauk Rapids, MN 56379-2533 | 2013-12-06 |
| 1811150618 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 1564 Cty Rd 134, St Cloud, MN 56303-0346 | 2008-07-02 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1295124535 | Buffalo Hospital | Rehabilitation, Substance Use Disorder Unit | 101 14th St Ne Ste A, Buffalo, MN 55313-2966 | 2015-01-09 |
| 1013194729 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-01-24 |
| 1346437720 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 1324 5th St N, New Ulm, MN 56073-1514 | 2007-09-28 |
| 1285692145 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2006-05-02 |
| City | SAINT CLOUD |
| Zip Code | 56303 |
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.