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Centracare Clinic

Organization Active NPI Primary Care Clinic/Center · Sartell, MN

NPI 1689196339 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1689196339
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
CENTRACARE CLINIC
Practice address
2000 23Rd St S
Sartell, MN 56377-4765
Phone
(320) 202-8949
Fax
(320) 257-1733
NPI assigned
Jul 14, 2017
Organization subpart
Yes
Parent organization (as reported)
CENTRACARE CLINIC

Authorized official

Name
Michael Blair
Title
Cfo
Phone
(320) 255-5665

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 809

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 809

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031105000293 MN Part B Supplier - Clinic/Group Practice 2466363395 Receives reassigned benefits from 1,127 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20171017000666 MN DME Supplier - Multi-Specialty - Physician 2466363395 Practice locations: Sartell, MN

National Provider Directory

Part of
Clearwater Express Care

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X MN Yes

Addresses

Primary practice location

2000 23Rd St S
Sartell, MN 56377-4765

Mailing address

1200 6TH Ave N
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

Other names

  • CentraCare - Sartell Clinic Doing business as
  • CentraCare Sauk Crossing Doing business as

Other providers in Sartell, MN

All providers in Sartell, MN · Primary Care Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.