ST. CLOUD HOSPITAL (NPI# 1609241447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609241447 |
| Entity Type | Organization |
| Organization Name | ST. CLOUD HOSPITAL |
| Other Organization Name | ST. CLOUD HOSPITAL PHYSICAL THERAPY - ALBANY |
| Practice Address |
30 Railroad Ave Albany MN 56307-9379 |
| Mailing Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
| Practice Telephone | 3208456138 |
| Mailing Telephone | 3202512700 |
| Mailing Fax Number | 3206567009 |
| Enumeration Date | 2015-12-04 |
| 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 | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Cloud Hospital Physical Therapy - Albany | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 3rd Ave, Albany, MN 563079363 | 3202512700 |
| 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 |
30 RAILROAD AVE |
| City | ALBANY |
| State | MN |
| Zip Code | 56307-9379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447308770 | Jennifer Nicole Gannon | Specialist/Technologist | 30 Railroad Ave, Centracare Clinic Albany, Albany, MN 56307-9363 | 2007-01-05 |
| 1952874836 | Tess Marie King | Physician Assistant | 30 Railroad Ave, Albany, MN 56307-9379 | 2019-01-03 |
| 1649758079 | Hailey Brinkman | Physical Therapist | 30 Railroad Ave, Albany, MN 56307-9379 | 2018-07-28 |
| 1871035881 | Stephanie Ann Olson | Registered Nurse | 30 Railroad Ave, Albany, MN 56307-9379 | 2016-11-08 |
| 1720432057 | Brittany Nagel | Family Medicine | 30 Railroad Ave, Albany, MN 56307-9379 | 2016-04-22 |
| 1457726549 | Centracare Clinic | Clinic/Center | 30 Railroad Ave, Albany, MN 56307 | 2015-12-01 |
| 1649447715 | Libby M Brever | Family Medicine | 30 Railroad Ave, Albany, MN 56307-9379 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023156 | Mary Jane Zeimetz | Technician | 355 Countryside Ln #6, Albany, MN 56307 | 2019-09-25 |
| 1003965047 | Harry J Larson | Dentist | 150 4th Street, Albany, MN 56307 | 2007-01-09 |
| 1952498214 | Katrina Coppicus | Occupational Therapist | 230 Church Street, Albany, MN 56307 | 2006-10-06 |
| 1104899939 | Mother of Mercy | Skilled Nursing Facility | 230 Church Avenue, Albany, MN 56307-0676 | 2006-02-10 |
| 1922302843 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-06 |
| 1093019754 | Chi Health Connect At Home - Fargo | Home Health | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-10 |
| 1427108273 | Robert C. Schwegler, Dds Pa | Clinic/Center | 421 Railroad Ave, Albany, MN 56307-0808 | 2007-01-12 |
| 1700408796 | Jessica Michael Lindquist | Counselor | 1185 Cranberry St, Albany, MN 56307-4518 | 2020-05-12 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1730526419 | Leslie Marie Young | Counselor | 161 4th St Ste B, Albany, MN 56307-8356 | 2013-06-04 |
| Find all providers in zip 56307 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336370683 | Raymon Stephen Webster Iv | Clinic/Center | 21a Railroad Ave, Unit B, Albany, NY 12205-5931 | 2009-08-04 |
| 1437275542 | Occupational Health Centers of New York, P.a., P.C. | Clinic/Center | 10b Madison Ave. Extension, Albany, NY 12203 | 2007-03-21 |
| 1508917667 | Advanced Rehab Center Inc | Clinic/Center | 709-a North Westover Blvd., Suite A, Albany, GA 31707 | 2007-01-16 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1992199657 | 360 Therapy, LLC | Clinic/Center | 19089 Florida Blvd, Albany, LA 70711-3603 | 2015-03-20 |
| 1346393790 | Thomas Niccolla Consulting Services, Pllc | Clinic/Center | 3 Atrium Dr, Suite 110, Albany, NY 12205-1417 | 2007-01-19 |
| 1568488070 | Karin Kuck | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-07-15 |
| 1437191830 | Sports Therapy Albany Pt, PC D/b/a | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-06-11 |
| 1912966409 | Athletic Dynamics LLC | Clinic/Center | 7 Southwoods Blvd, 4th Fl, Athletic Dynamics LLC, Albany, NY 12211-2526 | 2006-03-22 |
| 1841292430 | Advanced Physical Therapy of Albany, PC | Clinic/Center | 747 Madison Ave, Suite 1, Albany, NY 12208-3392 | 2005-08-12 |
| Find all providers in ALBANY | ||||
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| 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.