CENTRACARE CLINIC - LIFESTYLE HEALTH
NPI 1770020489
Clinic/Center - Community Health in St Cloud, MN

Active since January 20, 2017
2001 STOCKINGER DRIVE, SUITE 101, ST CLOUD, MN 56303(320) 251-2700(320) 656-7009 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 11, 2017, Jan 20, 2017 (2 updates tracked since 2017).

About Centracare Clinic - Lifestyle Health NPPES

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

CENTRACARE CLINIC - LIFESTYLE HEALTH (NPI 1770020489) is a healthcare organization registered as a community health in St Cloud, Minnesota and active in the NPI registry since January 2017. The organization lists Thomas M Feldhege, Director Of Finance And Treasurer, as its authorized official.

NPPES Registry Identity

NPI1770020489
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCENTRACARE CLINIC
Location Address2001 STOCKINGER DRIVE, SUITE 101St Cloud, MN 56303
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Fax(320) 656-7009
Organization SubpartNo
Authorized OfficialThomas M FeldhegeDirector Of Finance And Treasurer · (320) 240-2152
Enumeration DateJanuary 20, 2017
Last NPPES UpdateMay 11, 20172 updates tracked since enumeration
NPI 1770020489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
2001 STOCKINGER DRIVE, St Cloud, MN 56303

Other Names 1

Doing Business AsCentracare Clinic - Lifestyle Health

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 1770020489. It was assigned to this organization in the NPPES registry on January 20, 2017. The provider is doing business as Centracare Clinic - Lifestyle Health.

Where is Centracare Clinic located?

Centracare Clinic is located at 2001 Stockinger Drive Suite 101, St Cloud, MN 56303. The listed phone number is (320) 251-2700.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Centracare Clinic was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.