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

Centracare Clinic

Organization Multi-Specialty Clinic/Center · NPI 1225030844

Centracare Clinic is a Multi-Specialty Clinic/Center in Saint Cloud, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 654-3667
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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) 654-3630

Specialties & licences

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

Record details

NPI number1225030844
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentracare Clinic
Authorized official Michael Blair — Sr Vp & Cfo · (320) 255-5665
Other names Centracare - Plaza Clinic; Centracare - Plaza Clinic (Women & Children)
NPI enumeratedAugust 12, 2005
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address1200 6th Ave N, Saint Cloud, MN 56303-2736

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