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CENTRACARE HEALTH SYSTEM - SAUK CENTRE NPI 1578813762


NPI Information

NPI: 1578813762
Provider Name: CENTRACARE HEALTH SYSTEM - SAUK CENTRE

Doing Business As: CENTRACARE HEALTH - SAUK CENTRE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 24D0406054

Address:
425 ELM ST N
SAUK CENTRE, MN
ZIP 56378
Phone: (320) 352-2221
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CENTRACARE HEALTH SYSTEM - SAUK CENTRE is a rural health clinic center in Sauk Centre, MN. CENTRACARE HEALTH SYSTEM - SAUK CENTRE NPI is 1578813762. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Health - Sauk Centre Clinic.

The provider's business location address is:

425 ELM ST N
SAUK CENTRE, MN
ZIP 56378-010
Phone: (320) 352-2221
Fax: (320) 352-5150

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 24D0406054 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2012 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

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: 11/14/2023

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