ST. CLOUD HOSPITAL


Address: 713 Anderson Ave, Saint Cloud, MN 56303-2048
Phone: 3202293761

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 276400000X Rehabilitation, Substance Use Disorder Unit 803875 3 CDT MN Hospital Units

Other Provider/Organization Names

Other Name Type Code
Recovery Plus Adult Program-St Cloud Hospital 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
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

Office Location

Street Address 713 ANDERSON AVE
City SAINT CLOUD
State MN
Zip Code 56303-2048

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 276400000X
Grouping Hospital Units
Classification Rehabilitation, Substance Use Disorder Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City SAINT CLOUD
Zip Code 56303

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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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