Centracare Clinic
NPI #1255853115 in Clearwater, Minnesota
Provider Information
- NPI Number
- 1255853115
- Entity Type
- Organization
- Organization Name
- Centracare Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRACARE CLINIC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 12, 2017
- Last Updated
- Nov 19, 2020
Practice Location
- Address
- 615 NELSON DRIVE
- Address 2
- PO BOX 217
- City
- Clearwater
- State
- Minnesota
- ZIP Code
- 55320
- Phone
- (320) 558-2293
Authorized Official
- Name
- MICHAEL A BLAIR
- Title
- SR VP & CFO
- Phone
- (320) 255-5665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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