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

Centracare Clinic Southwest LLC

Organization Multi-Specialty Clinic/Center · NPI 1174106264

Centracare Clinic Southwest LLC is a Multi-Specialty Clinic/Center in Willmar, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone: (320) 231-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1174106264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blair — Cfo · (320) 255-5665
NPI enumeratedMay 5, 2021
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address1200 6th Ave N, Saint Cloud, MN 56303-2735

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