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CENTRACARE CLINIC
NPI 1710048590
Clinic/Center - Multi-Specialty in Becker, MN

Active since December 13, 2006CLIA 24D0927853 · Certificate of Compliance
12800 ROLLING RIDGE RD, BECKER, MN 55308(763) 261-7000 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Nov 19, 2020 (2 updates tracked since 2020).

About Centracare Clinic NPPES

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

CENTRACARE CLINIC (NPI 1710048590), doing business as Centracare - Becker Clinic, is a healthcare organization registered as a multi-specialty in Becker, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 25, 2027 and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1710048590
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRACARE CLINIC
Location Address12800 ROLLING RIDGE RDBecker, MN 55308-8838
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2736 · (320) 229-4977
Phone(763) 261-7000
Organization SubpartYes
Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1710048590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12800 ROLLING RIDGE RD, Becker, MN 55308
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Other Names 1

Doing Business AsCentracare - Becker Clinic

Other Identifiers 6

OtherNA197Pref One
Other35580Health Partners
Other98-00379Medica
Other86D71CEBcbs
Medicaid990228700MN
Other120173Ucare

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 24D0927853

Centracare - Becker Clinic · Becker, MN
Active · expires Jun 25, 2027
CLIA Number24D0927853
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorBrian L. Mackenzii
Laboratory Phone(763) 271-2819
Laboratory LocationCentracare - Becker Clinic12800 Rolling Ridge Rd, Becker, MN 55308
CLIA data matches this NPI record on: Address 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 5

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

DANIELLE M COHEN CNP, APRN
Nurse Practitioner (Family)
12800 ROLLING RIDGE RD
BECKER, MN 55308
Sherburne County (763) 261-7000
PAUL JEROME FEDOR RPH
Pharmacist
12800 ROLLING RIDGE RD
BECKER, MN 55308
Sherburne County (763) 261-7008
PAUL A SPINNER MD
Family Medicine
12800 ROLLING RIDGE RD, CENTRACARE CLINIC
BECKER, MN 55308
Sherburne County (763) 261-7000
MR. KURT WILLIAM GRAMITH RPH
Pharmacist
12800 ROLLING RIDGE RD
BECKER, MN 55308
Sherburne County (763) 261-7008
MR. ZACHARY JOSEPH MOELLER PA-C
Family Medicine
12800 ROLLING RIDGE RD
BECKER, MN 55308
Sherburne County (763) 261-7000

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 1710048590. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as CentraCare - Becker Clinic.

Where is Centracare Clinic located?

Centracare Clinic is located at 12800 Rolling Ridge Rd, Becker, MN 55308. The listed phone number is (763) 261-7000.

What is Centracare Clinic's specialty?

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

Does Centracare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0927853) is associated with this NPI, valid through June 25, 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 June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.