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CENTRACARE CLINIC
NPI 1669994315
Clinic/Center - Primary Care in Saint Cloud, MN

Active since July 14, 2017
1301 33RD ST S, SAINT CLOUD, MN 56301(320) 251-8181(320) 257-1733 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Nov 19, 2020, Jul 15, 2020 and 1 more (4 updates tracked since 2017).

About Centracare Clinic NPPES

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

CENTRACARE CLINIC (NPI 1669994315), doing business as Centracare - Southway Clinic, is a healthcare organization registered as a primary care in Saint Cloud, Minnesota and active in the NPI registry since July 2017. The organization lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1669994315
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCENTRACARE CLINIC
Location Address1301 33RD ST SSaint Cloud, MN 56301-9668
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Phone(320) 251-8181
Fax(320) 257-1733
Organization SubpartYes
Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665
Enumeration DateJuly 14, 2017
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1669994315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1301 33RD ST S, Saint Cloud, MN 56301
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Other Names 1

Doing Business AsCentracare - Southway Clinic

Accepted Insurance

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

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.

LINDSEY BECKMAN
Nurse Practitioner (Family)
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (701) 373-1826
KRISTEN J HEFFERN ARNP
Nurse Practitioner (Family)
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 251-8181
TIMOTHY MANGOLD PA-C
Physician Assistant (Medical)
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 251-8181
DR. BARTLEY BRANDON MUELLER MD
Family Medicine
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 202-8949
DR. ANN M LEE D.O.
Family Medicine
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 251-8181
JAMIE MARIE DOCKENDORF PA-C
Physician Assistant
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 251-8181
EUNICE B WESLANDER PAC
Physician Assistant
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 251-8181
JAMIE RAE POHLMANN DPT
Physical Therapist
1301 33RD ST S
SAINT CLOUD, MN 56301
Stearns County (320) 240-6955

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 1669994315. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is doing business as CentraCare - Southway Clinic.

Where is Centracare Clinic located?

Centracare Clinic is located at 1301 33rd St S, Saint Cloud, MN 56301. The listed phone number is (320) 251-8181.

What is Centracare Clinic's specialty?

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

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 with the weekly NPPES data releases published by CMS.