CENTRACARE - CLEARWATER CLINIC
NPI 1255853115
Clinic/Center - Primary Care in Clearwater, MN

Q: What is Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1255853115. It was assigned to this organization in the NPPES registry on July 12, 2017. The provider is doing business as Centracare - Clearwater Clinic.

Q: What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Centracare Clinic was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 12, 2017CLIA 24D0400128 · Accreditation

615 NELSON DRIVE, PO BOX 217, CLEARWATER, MN 55320(320) 558-2293(320) 685-4020 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2020, Jul 12, 2017 (2 updates tracked since 2017).

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About Centracare - Clearwater Clinic NPPES

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

CENTRACARE - CLEARWATER CLINIC (NPI 1255853115) is a healthcare organization registered as a primary care in Clearwater, Minnesota and active in the NPI registry since July 2017. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1255853115

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCENTRACARE CLINIC

Location Address615 NELSON DRIVE, PO BOX 217Clearwater, MN 55320

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

Phone(320) 558-2293

Fax(320) 685-4020

Organization SubpartYes

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

Enumeration DateJuly 12, 2017

Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration

NPPES CertifiedNovember 19, 2020

✔ NPI 1255853115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

615 NELSON DRIVE, Clearwater, MN 55320

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Other Names 1

Doing Business AsCentracare - Clearwater 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 Accreditation 24D0400128

Centracare Clearwater · Clearwater, MN

Active · expires Dec 22, 2027

CLIA Number24D0400128

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorKatie E. Schouweiler

Laboratory Phone(320) 558-2293

Laboratory LocationCentracare Clearwater615 Nelson Drive, Clearwater, MN 55320

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

SCOTT RAHM M.D.

Family Medicine

615 NELSON DRIVE
CLEARWATER, MN 55320

Wright County (320) 558-2293

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 1255853115. It was assigned to this organization in the NPPES registry on July 12, 2017. The provider is doing business as Centracare - Clearwater Clinic.

Where is Centracare Clinic located?

Centracare Clinic is located at 615 Nelson Drive PO Box 217, Clearwater, MN 55320. The listed phone number is (320) 558-2293.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Centracare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0400128) is associated with this NPI, valid through December 22, 2027. 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 November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.