St. Cloud Hospital

NPI #1922057421 in Staples, Minnesota

Provider Information

NPI Number: 1922057421
Entity Type: Organization
Organization Name: St. Cloud Hospital
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 10, 2006
Last Updated: Sep 10, 2024

Practice Location

Address: 403 EAST PRAIRIE AVE
City: Staples
State: Minnesota
ZIP Code: 56479
Phone: (218) 894-0026

Authorized Official

Name: MR. MICHAEL A. BLAIR
Title: SR. VICE PRESIDENT AND CFO
Phone: (320) 255-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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