Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTRACARE CLINIC
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 September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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

3701 12TH ST N STE 202, SAINT CLOUD, MN 56303(320) 258-3090 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Nov 19, 2020, Aug 14, 2019 and 1 more (4 updates tracked since 2017).

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About Centracare Clinic NPPES

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

CENTRACARE CLINIC (NPI 1790201739), doing business as Centracare Clinic Anesthesiology, 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 Address3701 12TH ST N STE 202Saint Cloud, MN 56303-2253

Mailing AddressPo Box 735818Chicago, IL 60673-5818 · (320) 251-2700

Phone(320) 258-3090

Organization SubpartNo

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

Enumeration DateAugust 22, 2017

Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ 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).

3701 12TH ST N STE 202, Saint Cloud, MN 56303

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Other Names 1

Doing Business AsCentracare Clinic Anesthesiology

Secondary Practice Location 1

Location 11200 6th Ave NSaint Cloud, MN 56303-2735 · Phone (320) 252-5131 · Fax (320) 240-2118

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.

RICHARD E BELMONT JR. D.O.

Anesthesiology