institution
Centracare Clinic
Durable Medical Equipment & Medical Supplies in St Cloud, Minnesota
NPI 1043212665

Centracare Clinic is a Durable Medical Equipment & Medical Supplies based in St Cloud, MN. Centracare Clinic practices in St Cloud, MN. The NPI Number for Centracare Clinic is 1043212665 and holds a License No. (Minnesota).

The current practice location address for Centracare Clinic is 1200 Sixth Ave No, St Cloud, MN and can be reached out via phone at 320-252-5131 and via fax at 320-240-2118.

Location: 1200 Sixth Ave No, St Cloud, MN, 56303-2735
institution
Provider Profile Details
NPI Number
1043212665
Provider Name
Centracare Clinic
Credential
Provider Entity Type
Organization
Address
1200 Sixth Ave No, St Cloud, MN, 56303-2735
Phone Number
320-252-5131
Fax Number
320-240-2118
Provider Enumeration Date
08/12/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6D053CE 01 BLUE CROSS BLUE SHIELD
N002912 01 CHAMPUS
98-04122 01 MEDICA
35580 01 HEALTH PARTNERS
990228700 05 MN
110890 01 U CARE
institution
Provider Business Practice Location Address Details
Address
1200 Sixth Ave No
City
State
Zip
56303-2735
Phone Number
320-252-5131
Fax Number
320-240-2118
person
Provider Business Mailing Address Details
Address
1200 Sixth Ave No
City
State
Zip
56303-2735
Phone Number
320-252-5131
Fax Number
320-240-2118
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
(Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
(Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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