CENTRACARE CLINIC ANESTHESIOLOGY
NPI 1790201739
Clinic/Center - Medical Specialty in Saint Cloud, MN

Q: What is Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1790201739. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as Centracare Clinic Anesthesiology.

Q: What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for Centracare Clinic was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 22, 2017

1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 240-2118 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2020, Aug 14, 2019, Aug 22, 2017 (3 updates tracked since 2017).

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About Centracare Clinic Anesthesiology NPPES

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

CENTRACARE CLINIC ANESTHESIOLOGY (NPI 1790201739) is a healthcare organization registered as a medical specialty in Saint Cloud, Minnesota and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Saint Cloud and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1790201739

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameCENTRACARE CLINIC

Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735

Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118

Phone(320) 252-5131

Fax(320) 240-2118

Organization SubpartNo

Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665

Enumeration DateAugust 22, 2017

Last NPPES UpdateNovember 19, 20203 updates tracked since enumeration

NPPES CertifiedNovember 19, 2020

✔ NPI 1790201739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1200 6TH AVE N, Saint Cloud, MN 56303

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Other Names 1

Doing Business AsCentracare Clinic Anesthesiology

Secondary Practice Location 1

Location 13701 12th St N Ste 202Saint Cloud, MN 56303-2253 · Phone (320) 258-3090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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.

ELIZABETH RENDE

Pediatrics

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 251-2700

LYNN M WELLNER REGISTERED NURSE

Registered Nurse

1200 6TH AVE N
ST CLOUD, MN 56303

Stearns County (320) 240-2206

BHARATH MANU AKKARA VEETIL MBBS

Internal Medicine (Rheumatology)

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

ABIGAIL HOLMBERG PA

Physician Assistant (Medical)

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 240-2829

JESSICA HOLLENKAMP CNP

Nurse Practitioner

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

CHRISTINA K ANDERSON MD

Dermatology

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

YAGA SAINE RN, CNP

Nurse Practitioner (Adult Health)

1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303

Stearns County (320) 656-7020

JYH-YAU TSAUR MD

Internal Medicine

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

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 1790201739. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as Centracare Clinic Anesthesiology.

Where is Centracare Clinic located?

Centracare Clinic is located at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Centracare Clinic accept?

Health plans from 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 November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.