Centracare Health System

NPI #1457901506 in Big Lake, Minnesota

Provider Information

NPI Number: 1457901506
Entity Type: Organization
Organization Name: Centracare Health System
Primary Specialty: Ambulance
Enumeration Date: Sep 19, 2019
Last Updated: Apr 16, 2024

Practice Location

Address: 121 LAKE ST N
City: Big Lake
State: Minnesota
ZIP Code: 55309-9254
Phone: (320) 251-2700

Authorized Official

Name: MICHAEL BLAIR
Title: CFO
Phone: (320) 251-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Ambulance	341600000X	Primary

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