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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CENTRACARE CLINIC

Deactivated Organization

CENTRACARE CLINIC is a Primary Care Clinic organization located in SAINT CLOUD, Minnesota. NPI 1457405763 is deactivated in the NPPES registry. Verify at CMS.

Primary Care Clinic · SAINT CLOUD, MN

This NPI has been deactivated. The record was deactivated on February 13, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1457405763
Provider Type
Organization
NPI Issued
Jan 23, 2007 (13.05737704918 yrs)
Last Updated
Sep 10, 2024
Deactivated
Feb 13, 2020

Practice Information

Address
1900 CENTRACARE CIR
SUITE 1450
SAINT CLOUD, MN, 563035000
Browse MN providers · Browse ZIP 56303
Phone
3202294917
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Organizations in SAINT CLOUD, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.