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 1881696490

Centracare Clinic is a Multi-Specialty Clinic/Center in Saint Cloud, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2

Practice location Address checks out

1555 Northway Dr Ste 100
Saint Cloud, MN 56303-1258
Phone: (320) 251-1775
Fax: (320) 240-3131
Show map & directions

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

Specialties & licences

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

Record details

NPI number1881696490
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentracare Clinic
Authorized official Michael Blair — Sr Vp & Cfo · (320) 255-5665
Other names Centracare - Northway Clinic
NPI enumeratedAugust 12, 2005
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address1200 6th Ave N, Saint Cloud, MN 56303-2736

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