CENTRA CARE FAMILY HEALTH CENTER
NPI 1770532426
Clinic/Center in St Cloud, MN

NPI Status: Active since May 09, 2006

Contact Information

1555 NORTHWAY DRIVE
SUITE 200
ST CLOUD, MN
ZIP 56303
Phone: (320) 240-3157
Fax: (320) 240-3143

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Accepts Insurance
CLIA Number: 24D0897972
CLIA Cert. Type: Community Clinic
CLIA Exp. Date: 12-20-2026

About CENTRA CARE FAMILY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Centra Care Family Health Center, a provider established in St Cloud, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1770532426 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Centra Care Family Health Center. The authorized official of this NPI record is Mr. Michael A. Blair (Sr. Vice President And Cfo)

NPI: 1770532426
Provider Legal Name: ST. CLOUD HOSPITAL
Other Organization Name: CENTRA CARE FAMILY HEALTH CENTER
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1555 NORTHWAY DRIVE SUITE 200 ST CLOUD, MN 56303
Location Phone: (320) 240-3157
Location Fax: (320) 240-3143
Mailing Address: 1555 NORTHWAY DRIVE SUITE 200 ST CLOUD, MN 56303
Mailing Phone: (320) 240-3157
Mailing Fax: (320) 240-3143
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 05-09-2006
Last Update Date: 10-10-2019
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center	331506 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

HealthPartners

Atlas $1,000 Gold - PPO
Atlas $1,500 Standard Gold - PPO
Atlas $2,650 Plus Silver - PPO
Atlas $3,500 HSA Silver - PPO
Atlas $5,000 Standard Silver - PPO
Atlas $6,500 Plus Bronze - PPO
Atlas $7,500 Standard Bronze - PPO
Atlas $8,200 HSA Bronze - PPO
Atlas $9,200 Catastrophic - PPO

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - HMO

Sanford Health Plan

Sanford Individual Simplicity $1,750 - PPO
Sanford Individual Simplicity $3,500 - PPO
Sanford Individual Simplicity $4,750 - PPO
Sanford Individual Simplicity $6,000 - PPO
Sanford Individual Simplicity $7,100 HSA Qualified - PPO
Sanford Individual Simplicity $9,200 - PPO
Sanford Individual Simplicity Standardized $1,500 - PPO
Sanford Individual Simplicity Standardized $5,000 - PPO
Sanford Individual Simplicity Standardized $7,500 - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. MICHAEL A. BLAIR
Authorized Official Title: SR. VICE PRESIDENT AND CFO
Authorized Official Phone: (320) 255-5665

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
616053100	MEDICAID (05)	MN
690000070	OTHER (01)	MN	CENTRACARE LAB
RR MEDICARE	OTHER (01)	MN	690009424

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 24D0897972
Facility Type: Community Clinic
Certificate Effective Date: December 21, 2024
Certificate Expiration Date: December 20, 2026
Laboratory Director: AMY OLMSCHENK
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Centra Care Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	7	0	5	3	2	4	2	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	14	0	10	3	4	4	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 3 + 4 + 4 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1770532426 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 11 providers are registered at the same or nearby location.

ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS

Dentist

(Endodontics)

1555 NORTHWAY DRIVE
SUITE 210
ST CLOUD, MN
ZIP 56303

(320) 259-5078

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CARL MICHAEL MELLING M.D.

Family Medicine