St. Cloud Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

HFID-31401 Issued in MN

Legal business name

ST. CLOUD HOSPITAL

Doing business as

St. Benedict's Senior Community - Therapy Suites, Sartell

Practice address

990 19TH St. S.
Sartell, MN 56377

Phone

(320) 252-0010

NPI assigned

Dec 16, 2015

Organization subpart

Yes

Parent organization

SAINT CLOUD HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Blair

Title

Cfo

Phone

(320) 255-5665

Specialties & licenses 1

Addresses

Other names 1

• St. Benedict's Senior Community - Therapy Suites, Sartell Doing business as

Part of

Mid Minnesota Clinic

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1710342894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MINNESOTA BLVD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563042436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 19TH ST. S.",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-252-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT CLOUD HOSPITAL",
        "enumeration_date": "2015-12-16",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-255-5665"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "HFID-31401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Benedict's Senior Community - Therapy Suites, Sartell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Benedict's Senior Community - Therapy Suites, Sartell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy Therese Soukup, PHD LP
• Chad F Spaulding, D.C.
• Darrin John Spoden, D.O
• St Cloud Area Surgery Ctr (Center for Outpatient Surgery)
• St. Cloud Hospital (St Cloud Hospital Behavioral Health - Sartell)
• St. Cloud Orthopedic Associates, LTD.
• Isabelle Staggs
• Andrew Staiger, M.D.
• Laura Lee Stang, PA-C
• Lyndsey Statz

• Skilled Nursing Facility in Sartell, MN
• Providers in Sartell, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.