CENTRACARE CLINIC (NPI# 1821463860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821463860 |
| Entity Type | Organization |
| Organization Name | CENTRACARE CLINIC |
| Other Organization Name | CENTRACARE CLINIC - MIDTOWN |
| Practice Address |
3333 W Division St Saint Cloud MN 56301-4515 |
| Practice Telephone | 3202300590 |
| Practice Fax Number | 3202402053 |
| Mailing Telephone | 3202300590 |
| Mailing Fax Number | 3202402053 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | TOM FELDHEGE (CFO CENTRACARE CLINIC) |
| Authorized Official Telephone | 3202512700 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRACARE CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CentraCare Clinic - Midtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| 1770020489 | Centracare Clinic | Clinic/Center | 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 | 2017-01-20 |
| 1679025746 | Centracare Clinic | Clinic/Center | 7418 Forthun Rd, Baxter, MN 56425-8702 | 2016-10-25 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1043212665 | Centracare Clinic | Clinic/Center | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2005-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRACARE CLINIC RIVER CAMPUS | 1200 6th Ave N, Saint Cloud, MN 56303-2735 |
| Street Address |
3333 W DIVISION ST |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307191 | Select Hearing Aid Center | Hearing Aid Equipment | 3333 W Division St, Ste 115, Saint Cloud, MN 56301-4548 | 2005-06-22 |
| 1396259883 | Gerhardson Chiropractic LLC | Chiropractor | 3333 W Division St, Saint Cloud, MN 56301-4515 | 2017-11-21 |
| 1598296840 | Ashley Anderson | Social Worker | 3333 W Division St, Suite: 217, Saint Cloud, MN 56301-4515 | 2017-03-27 |
| 1871823377 | Donald Lawrence Glatzmaier | Counselor | 3333 W Division St, Suite 210, Saint Cloud, MN 56301-4515 | 2010-01-05 |
| 1053576546 | Central Minnesota Mental Health Center | Counselor | 3333 W Division St, Suite 219, Saint Cloud, MN 56301-4515 | 2008-07-23 |
| 1578728432 | Lupkes Family Chiropractic LLC | Clinic/Center | 3333 W Division St, Ste 101, Saint Cloud, MN 56301-4515 | 2008-07-21 |
| 1578765988 | Jason Lupkes | Chiropractor | 3333 W Division St, Ste. #101, Saint Cloud, MN 56301-4515 | 2007-06-05 |
| 1639384043 | Central Minnesota Mental Health Center | Counselor | 3333 W Division St, Suite 217, Saint Cloud, MN 56301-4515 | 2007-05-11 |
| 1306960315 | Diane Dockendorf Opatz | Social Worker | 3333 W Division St, Saint Cloud, MN 56301-4515 | 2007-03-16 |
| 1043376635 | Benedict A Walz | Counselor | 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, MN 56301-4515 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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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.