Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centracare Clinic

Organization Multi-Specialty Clinic/Center · NPI 1043212665

Centracare Clinic is a Multi-Specialty Clinic/Center in St Cloud, Minnesota. Works from 2 locations. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2

Practice location Address checks out

1200 Sixth Ave No Centracare Clinic
St Cloud, MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 650-1777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 Jefferson St N, Wadena, MN 56482-1264 — (320) 255-5613

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1043212665
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentracare Clinic
Authorized official Michael Blair — Sr Vp & Cfo · (320) 255-5665
Other names Centracare - River Campus Clinic
NPI enumeratedAugust 12, 2005
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735