CENTRACARE CLINIC
NPI 1164978219
Clinic/Center in Saint Cloud, MN

NPI Status: Active since August 29, 2016

Contact Information

3701 12TH ST N
SUITE 100
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 253-7257
Fax: (320) 251-2938

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About CENTRACARE CLINIC

This page provides the complete NPI Profile along with additional information for Centracare Clinic, a provider established in Saint Cloud, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1164978219 assigned on August 2016. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Michael A Blair (Sr Vp & Cfo)

NPI
1164978219
Provider Legal Name
CENTRACARE CLINIC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3701 12TH ST N SUITE 100 SAINT CLOUD, MN 56303
Location Phone
(320) 253-7257
Location Fax
(320) 251-2938
Mailing Address
1200 6TH AVE N SAINT CLOUD, MN 56303
Mailing Phone
(320) 252-5131
Mailing Fax
(320) 251-2938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2016
Last Update Date
06-23-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
MN
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL A BLAIR

Authorized Official Title
SR VP & CFO
Authorized Official Phone
(320) 255-5665

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6D053CEOTHER (01)MNBLUE CROSS BLUE SHIELD
98-04122OTHER (01)MNMEDICA
N002912OTHER (01)MNCHAMPUS
990228700OTHER (01)MNMEDICAID
110890OTHER (01)MNUCARE
35580OTHER (01)MNHEALTH PARTNERS

Reviews for CENTRACARE CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164978219, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 8 + 7 + 1 + 6 + 2 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164978219.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
ST CLOUD, MN 56303
Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
ST CLOUD, MN 56303
Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 56303
Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
ST CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Pathology (Anatomic Pathology & Clinical Pathology)
3701 12TH ST N, SUITE 201
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Clinical Medical Laboratory
3701 12TH ST N, SUITE 201
SAINT CLOUD, MN 56303
Physician Assistant (Surgical)
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 56303
Anesthesiology
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164978219, enumerated as an "organization" on August 29, 2016.

The provider is located at 3701 12TH ST N SUITE 100 SAINT CLOUD, MN 56303 and the phone number is (320) 253-7257.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan, Blue. Please consult your insurance carrier or call the provider to verify.