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

Centracare Clinic

Organization Primary Care Clinic/Center · NPI 1669994315

Centracare Clinic is a Primary Care Clinic/Center in Saint Cloud, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

1301 33rd St S
Saint Cloud, MN 56301-9668
Phone: (320) 251-8181
Fax: (320) 257-1733
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1669994315
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentracare Clinic
Authorized official Michael Blair — Sr Vp & Cfo · (320) 255-5665
Other names Centracare - Southway Clinic
NPI enumeratedJuly 14, 2017
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address1200 6th Ave N, Saint Cloud, MN 56303-2735

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