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

Centracare Health System

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1457901506

Centracare Health System is an Emergency Medical Services (Emergency Medicine) Physician in Big Lake, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

121 Lake St N
Big Lake, MN 55309-9254
Phone: (320) 251-2700
Show map & directions

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

Specialties & licences

Ambulance (primary) Taxonomy 341600000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X

Record details

NPI number1457901506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blair — Cfo · (320) 251-2700
Other names Centracare Emergency Medical Services; Centracare Emergency Medical Services
NPI enumeratedSeptember 19, 2019
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1406 6th Ave N, Saint Cloud, MN 56303-1900