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

Centracare Clinic

Organization Clinic/Center · NPI 1164978219

Centracare Clinic is a Clinic/Center in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016

Practice location Address checks out

3701 12th St N Ste 100
Saint Cloud, MN 56303-2255
Phone: (320) 253-7257
Fax: (320) 251-2938
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (MN)

Record details

NPI number1164978219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blair — Sr Vp & Cfo · (320) 255-5665
Other names Centracare - Midsota Plastic Surgery
NPI enumeratedAugust 29, 2016
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address1200 6th Ave N, Saint Cloud, MN 56303-2735

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