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CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC
NPI 1144653734
Clinic/Center - Rural Health in Richmond, MN

Active since August 19, 2013CLIA 24D0406030 · Certificate of Compliance
130 1ST ST NE, RICHMOND, MN 56368(320) 597-2122(320) 597-2102 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2019, Oct 9, 2018, Jun 15, 2017 (3 updates tracked since 2017).

About Centracare Health Paynesville - Richmond Clinic NPPES

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

CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC (NPI 1144653734) is a healthcare organization registered as a rural health in Richmond, Minnesota and active in the NPI registry since August 2013. The organization holds a CLIA Certificate of Compliance certificate valid through April 24, 2027 and lists Michael A. Blair, Sr. Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1144653734
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCENTRACARE HEALTH-PAYNESVILLE LLC
Location Address130 1ST ST NERichmond, MN 56368-8183
Mailing Address200 W 1st StPaynesville, MN 56362-1445 · (320) 243-3767 · Fax (320) 243-7955
Phone(320) 597-2122
Fax(320) 597-2102
Organization SubpartNo
Authorized OfficialMichael A. BlairSr. Vice President And Cfo · (320) 255-5665
Enumeration DateAugust 19, 2013
Last NPPES UpdateOctober 10, 20193 updates tracked since enumeration
✔ NPI 1144653734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
130 1ST ST NE, Richmond, MN 56368
Open in Google Maps ↗

Other Names 1

Doing Business AsCentracare Health Paynesville - Richmond Clinic

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 24D0406030

Centracare Health Paynesville - Richmond Clinic · Richmond, MN
Active · expires Apr 24, 2027
CLIA Number24D0406030
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorErin Jager
Laboratory Phone(320) 243-7707
Laboratory LocationCentracare Health Paynesville - Richmond Clinic130 First St NE, Richmond, MN 56368
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA R PROELL CNP
Nurse Practitioner (Family)
130 1ST ST NE
RICHMOND, MN 56368
Stearns County (320) 597-2122
RYAN MARECK DNP
Nurse Practitioner (Family)
130 1ST ST NE
RICHMOND, MN 56368
Stearns County (320) 597-2122
PAYNESVILLE AREA HOSPITAL DISTRICT
Clinic/Center (Critical Access Hospital)
130 1ST ST NE
RICHMOND, MN 56368
Stearns County (320) 597-2122

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 Health-Paynesville LLC's NPI number?

The NPI number for Centracare Health-Paynesville LLC is 1144653734. It was assigned to this organization in the NPPES registry on August 19, 2013. The provider is doing business as Centracare Health Paynesville - Richmond Clinic.

Where is Centracare Health-Paynesville LLC located?

Centracare Health-Paynesville LLC is located at 130 1st St NE, Richmond, MN 56368. The listed phone number is (320) 597-2122.

What is Centracare Health-Paynesville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Centracare Health-Paynesville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0406030) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centracare Health-Paynesville LLC accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Centracare Health-Paynesville LLC 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 Health-Paynesville LLC was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.