St. Cloud Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5359694 Issued in MN

Legal business name

ST. CLOUD HOSPITAL

Practice address

1810 Minnesota Blvd
Saint Cloud, MN 56304-2436

Phone

(320) 252-0010

Fax

(320) 252-8611

NPI assigned

Jun 1, 2005

Reactivated

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Christine M Midas

Title

Director Business

Phone

(320) 252-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Benedict's Senior Community Doing business as

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1902808249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MINNESOTA BLVD SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56304",
            "telephone_number": "320-252-0010",
            "fax_number": "320-203-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MINNESOTA BLVD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563042436",
            "telephone_number": "320-252-0010",
            "fax_number": "320-252-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-08-12",
        "deactivation_date": "2024-07-31",
        "reactivation_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "MIDAS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS",
        "authorized_official_telephone_number": "320-252-0010"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "5359694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885740700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Benedict's Senior Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Cloud Hospital
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• St. Cloud Hospital
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• St. Cloud Hospital
• St. Cloud Metropolitan Transit Commission
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• St. Cloud Neurobehavioral Associates, PA
• St. Cloud Outpatient Surgery, LTD.

• Skilled Nursing Facility in Saint Cloud, MN
• Providers in Saint Cloud, 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 Aug 12, 2024; 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.