Centracare Clinic
Centracare Clinic is a Multi-Specialty Clinic/Center in Big Lake, Minnesota. Medicare rates this dialysis facility 5 out of 5. Registered with an NPI since 2007.
- CMS rating
- 5 of 5
- In the registry since
- 2007
- Specialties on file
- 2
CMS quality rating
Practice location Address checks out
16830 198th Ave NW Centracare Clinic - Big LkBig Lake, MN 55309-4860
Phone: (763) 263-7300
Fax: (763) 263-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1013104348 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centracare Clinic |
| Authorized official | Michael Blair — Sr Vp & Cfo · (320) 255-5665 |
| Other names | Centracare - Big Lake Clinic |
| NPI enumerated | October 1, 2007 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | 1200 6th Ave N, Saint Cloud, MN 56303-2736 |