ST CLOUD HOSPITAL NPI 1629027123

NPI Information

ST CLOUD HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Saint Cloud, MN. ST CLOUD HOSPITAL NPI is 1629027123. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Kidney Program.

The provider's business location address is:

1406 6TH AVE NORTH
SAINT CLOUD, MN
ZIP 56303-900
Phone: (320) 251-2700
Fax: (320) 656-7009

The provider's authorized official is Gregory R Klugherz .
The authorized official title is Vice President And Cfo and has the following contact phone number (320) 255-5665.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/17/2017.

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:

Other Identifiers

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