ST. CLOUD HOSPITAL NPI 1770532426

NPI Information

  • NPI: 1770532426
  • Provider Name: ST. CLOUD HOSPITAL
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: CENTRA CARE FAMILY HEALTH CENTER
  • CLIA Number: 24D0897972
  • Address: 1555 NORTHWAY DRIVE
    SUITE 200
    ST CLOUD, MN
    ZIP 56303
  • Phone: (320) 240-3157

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NPI Details

ST. CLOUD HOSPITAL is a clinic center in St Cloud, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST. CLOUD HOSPITAL NPI is 1770532426. The provider is registered as an organization entity type.
The provider Is Doing Business As Centra Care Family Health Center.

The provider's business location address is:

1555 NORTHWAY DRIVE
SUITE 200
ST CLOUD, MN
ZIP 56303-913
Phone: (320) 240-3157
Fax: (320) 240-3143

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 24D0897972 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 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
1261Q00000XClinic/Center331506MINNESOTANo
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1616053100MEDICAIDMINNESOTA
2690000070OTHERMINNESOTACENTRACARE LAB
3RR MEDICAREOTHERMINNESOTA690009424

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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