CENTRACARE CLINIC
NPI 1003339789
Clinic/Center - Multi-Specialty in Saint Cloud, MN

Q: What is Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1003339789. It was assigned to this organization in the NPPES registry on July 25, 2017. The provider is doing business as CentraCare - Coordinated Care Clinic.

Q: What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Centracare Clinic was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2017CLIA 24D0992852 · Certificate of Compliance

3701 12TH ST N STE 102, SAINT CLOUD, MN 56303(320) 656-7195 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Feb 27, 2025, Nov 19, 2020 and 2 more (5 updates tracked since 2017).

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About Centracare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRACARE CLINIC (NPI 1003339789), doing business as Centracare - Coordinated Care Clinic, is a healthcare organization registered as a multi-specialty in Saint Cloud, Minnesota and active in the NPI registry since July 2017. The organization holds a CLIA Certificate of Compliance certificate valid through November 11, 2026, maintains 2 additional practice locations, and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1003339789

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCENTRACARE CLINIC

Location Address3701 12TH ST N STE 102Saint Cloud, MN 56303-2253

Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118

Phone(320) 656-7195

Organization SubpartNo

Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665

Enumeration DateJuly 25, 2017

Last NPPES UpdateJune 23, 20255 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1003339789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

3701 12TH ST N STE 102, Saint Cloud, MN 56303

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Other Names 1

Doing Business AsCentracare - Coordinated Care Clinic

Secondary Practice Locations 2

Location 11555 Northway Dr Ste 110Saint Cloud, MN 56303-1866 · Phone (320) 255-7195 · Fax (320) 200-3245

Location 22025 Stearns Way Ste 114Saint Cloud, MN 56303 · Phone (320) 255-7195 · Fax (320) 200-3245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0992852

Centracare Clinic- Plaza Dermatology · Saint Cloud, MN

Active · expires Nov 11, 2026

CLIA Number24D0992852

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 12, 2024

Certificate Expiration DateNovember 11, 2026

Laboratory DirectorRachel L. Schuneman

Laboratory Phone(320) 229-5036

Laboratory LocationCentracare Clinic- Plaza Dermatology1900 Centracare Circle, Suite 2575, Saint Cloud, MN 56303

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1003339789. It was assigned to this organization in the NPPES registry on July 25, 2017. The provider is doing business as CentraCare - Coordinated Care Clinic.

Where is Centracare Clinic located?

Centracare Clinic is located at 3701 12th St N Ste 102, Saint Cloud, MN 56303. The listed phone number is (320) 656-7195.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Centracare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0992852) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centracare Clinic accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Centracare Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centracare Clinic was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.