ST. CLOUD HOSPITAL NPI 1033391099

NPI Information

  • NPI: 1033391099
  • Provider Name: ST. CLOUD HOSPITAL
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: CENTRACARE KIDNEY PROGRAM - LITCHFIELD
  • CLIA Number: 24D0651612
  • Address: 520 HWY 12 EAST
    SUITE 6
    LITCHFIELD, MN
    ZIP 55355
  • Phone: (320) 240-7808

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NPI Details

ST. CLOUD HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Litchfield, MN. ST. CLOUD HOSPITAL NPI is 1033391099. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Kidney Program - Litchfield.

The provider's business location address is:

520 HWY 12 EAST
SUITE 6
LITCHFIELD, MN
ZIP 55355
Phone: (320) 240-7808
Fax: (320) 240-7840

The provider's authorized official is Michael A. Blair .
The authorized official title is Sr. Vice President And Cfo and has the following contact phone number (320) 255-5665.

The CLIA number assigned to this NPI record is 24D0651612 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 10/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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