Centracare Clinic
Multi-Specialty
16830 198th Ave Nw, Centracare Clinic - Big Lake, Big Lake
Minnesota, 55309-4860
763-263-7300 763-263-7338
Centracare Clinic is a Multi-Specialty in Big Lake, Minnesota. This organization is also known as sub part of Centracare Clinic. It is located at 16830 198th Ave Nw, Centracare Clinic - Big Lake, Big Lake and it's customer support contact number is 763-263-7300. The authorized person of Centracare Clinic is Michael A Blair who is Sr Vp & Cfo of this DME and his contact number is 320-255-5665. Centracare Clinic accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Centracare Clinic is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Centracare Clinic type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Centracare Clinic |
| Type: | Multi-Specialty |
| Location: | 16830 198th Ave Nw, Centracare Clinic - Big Lake, Big Lake,
Minnesota, 55309-4860 |
| Phone: | 763-263-7300 |
| Fax: | 763-263-7338 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Michael A Blair |
| Position: | Sr Vp & Cfo |
| Contact Number: | 320-255-5665 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1013104348 |
| Parent Organization: | Centracare Clinic |
| NPI Enumeration Date: | 01 Oct, 2007 |
| NPI Last Update On: | 19 Nov, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centracare Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Multi-Specialty | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Centracare Clinic is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2466363395 | O20141010001588 | Centracare Clinic | DME SUPPLIER - PHYSICIAN - GENERAL PRACTICE |
Products Available:
Centracare Clinic has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Orthoses: Prefabricated |
| • Surgical Dressings | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1200 6th Ave N,
Saint Cloud, Minnesota |
| Zip: | 56303-2736 |
| Phone Number: | 320-229-4977 |
| Fax Number: | 763-263-7338 |
Patients can reach Centracare Clinic at
16830 198th Ave Nw, Centracare Clinic - Big Lake, Big Lake, Minnesota or can
call on customer care at 763-263-7300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.