Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Centracare Clinic

Organization Medical Specialty Clinic/Center · NPI 1790201739

Centracare Clinic provides Medical Specialty Clinic/Center services in Saint Cloud, Minnesota. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

3701 12th St N Ste 202
Saint Cloud, MN 56303-2253
Phone: (320) 258-3090
Show map & directions

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

Additional practice locations (1)

  • 1200 6th Ave N, Saint Cloud, MN 56303-2735 — (320) 252-5131

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1790201739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blair — Sr Vp & Cfo · (320) 255-5665
Other names Centracare Clinic Anesthesiology
NPI enumeratedAugust 22, 2017
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026
Mailing addressPo Box 735818, Chicago, IL 60673-5818

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