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ST CLOUD MEDICAL GROUP PA
NPI 1487690996
Clinic/Center - Multi-Specialty in Saint Cloud, MN

Active since June 22, 2006
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303(320) 202-8949(320) 202-0756 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About St Cloud Medical Group Pa NPPES

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

ST CLOUD MEDICAL GROUP PA (NPI 1487690996) is a healthcare organization registered as a multi-specialty in Saint Cloud, Minnesota and active in the NPI registry since June 2006. The organization lists Christopher Tacl, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487690996
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameST CLOUD MEDICAL GROUP PA
Location Address251 COUNTY ROAD 120Saint Cloud, MN 56303-4872
Mailing Address251 County Road 120Saint Cloud, MN 56303-4872 · (320) 202-8949 · Fax (320) 202-0756
Phone(320) 202-8949
Fax(320) 202-0756
Organization SubpartNo
Authorized OfficialChristopher TaclMedical Director · (320) 202-8949
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 6, 2011
✔ NPI 1487690996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
251 COUNTY ROAD 120, Saint Cloud, MN 56303
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Other Identifiers 3

Medicare NSC0522400001MN
Medicaid175710500MN
Medicare PINC07627MN

Other Providers at the Same Location NPPES 20

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

MR. JOHN THOMAS HARDMAN PA-C
Physician Assistant (Medical)
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Stearns County (320) 202-8949
FILIP LEE JOHNSON P.T.
Physical Therapist
251 COUNTY ROAD 120, SUITE A
ST CLOUD, MN 56303
Stearns County (320) 259-5429
DR. PAUL EUGENE UNDERSANDER DC
Chiropractor
251 COUNTY ROAD 120, SUITE B
SAINT CLOUD, MN 56303
Stearns County (320) 252-3711
MR. TIMOTHY RYAN RYSAVY PSYD, LP
Psychologist
251 COUNTY ROAD 120
ST. CLOUD, MN 56303
Stearns County (320) 258-3833
STEVEN WENO M.D.
Family Medicine
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Stearns County (320) 202-8949
PAUL THOMAS TEMBROCK PT
Physical Therapist
251 COUNTY ROAD 120, SUITE A
SAINT CLOUD, MN 56303
Stearns County (320) 259-5429
DR. MELISSA M ENSIGN MD
Family Medicine
251 COUNTY ROAD 120, SAINT CLOUD MEDICAL GROUP
SAINT CLOUD, MN 56303
Stearns County (320) 529-4731
JAREN STEVEN LUKACH CNP
Nurse Practitioner (Family)
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Stearns County (320) 529-4741

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 St Cloud Medical Group PA's NPI number?

The NPI number for St Cloud Medical Group PA is 1487690996. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is St Cloud Medical Group PA located?

St Cloud Medical Group PA is located at 251 County Road 120, Saint Cloud, MN 56303. The listed phone number is (320) 202-8949.

What is St Cloud Medical Group PA's specialty?

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

When was this NPI record last updated?

The NPPES record for St Cloud Medical Group PA was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.