CENTRACARE CLINIC
NPI 1881696490
Clinic/Center - Multi-Specialty in Saint Cloud, MN

Q: What is Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1881696490. It was assigned to this organization in the NPPES registry on August 12, 2005. The provider is doing business as CentraCare - Northway Clinic.

Q: What is Centracare Clinic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Centracare Clinic was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2005

1555 NORTHWAY DR STE 100, SAINT CLOUD, MN 56303(320) 251-1775(320) 240-3131 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

On this page

About Centracare Clinic NPPES

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

CENTRACARE CLINIC (NPI 1881696490), doing business as Centracare - Northway Clinic, is a healthcare organization registered as a multi-specialty in Saint Cloud, Minnesota and active in the NPI registry since August 2005. The organization lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1881696490

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCENTRACARE CLINIC

Location Address1555 NORTHWAY DR STE 100Saint Cloud, MN 56303-1258

Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2736 · (320) 229-4977 · Fax (320) 240-3131

Phone(320) 251-1775

Fax(320) 240-3131

Organization SubpartYes

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

Enumeration DateAugust 12, 2005

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1881696490 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

1555 NORTHWAY DR STE 100, Saint Cloud, MN 56303

Open in Google Maps ↗

Other Names 1

Doing Business AsCentracare - Northway Clinic

Other Identifiers 6

OtherNA131Pref One

Other98-01806Medica

Other110963Ucare

Medicaid990228700MN

Other86D71CEBcbs

Other35580Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Centracare Pharmacy Northway carries, from the Medicare DMEPOS supplier directory.

Centracare Pharmacy Northway

DMEPOS supplier · Saint Cloud, MNOperated by Centracare Pharmacy Services LLC

✔

Accepts Medicare assignment

Centracare Pharmacy Northway agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20559689

Medicare Participant SinceJanuary 1, 2008

Supplier Location1555 Northway Dr Ste 150Saint Cloud, MN 56303

Phone(320) 240-3160

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

KAYLA ASH

Nurse Practitioner (Family)