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

St Cloud Hospital

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1922057421

St Cloud Hospital is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Staples, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

403 E Prairie Ave
Staples, MN 56479
Phone: (218) 894-0026
Fax: (320) 656-7009
Show map & directions

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

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X · Licence 331506 (MN)

Record details

NPI number1922057421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blair — Sr. Vice President And Cfo · (320) 255-5665
Other names Centracare Kidney Program - Staples Dialysis; Centracare Kidney Program - Staples Dialysis
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 10, 2024
Mailing address1406 6th Ave N, Saint Cloud, MN 56303-1900

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