Centracare Clinic
Multi-Specialty
1200 Sixth Ave No, Centracare Clinic, St Cloud
Minnesota, 56303-2735
320-252-5131 320-650-1777
Centracare Clinic is a Multi-Specialty in St Cloud, Minnesota. This organization is also known as sub part of Centracare Clinic. It is located at 1200 Sixth Ave No, Centracare Clinic, St Cloud and it's customer support contact number is 320-252-5131. 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: | 1200 Sixth Ave No, Centracare Clinic, St Cloud,
Minnesota, 56303-2735 |
| Phone: | 320-252-5131 |
| Fax: | 320-650-1777 |
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: | 1043212665 |
| Parent Organization: | Centracare Clinic |
| NPI Enumeration Date: | 12 Aug, 2005 |
| NPI Last Update On: | 17 Jul, 2025 |
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 | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 35580 | Other | | Health Partners |
| 110890 | Other | | U Care |
| 6D053CE | Other | | Blue Cross Blue Shield |
| 9804122 | Other | Minnesota | Medica |
| 990228700 | Medicaid | Minnesota | |
| N002912 | Other | | Champus |
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 | O20031105000293 | Centracare Clinic | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 2466363395 | O20100930027560 | Centracare Clinic | DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN |
Products Available:
Centracare Clinic has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Negative Pressure Wound Therapy Pumps & Supplies |
| • Neuromuscular Electrical Stimulators (nmes) | • Neurostimulators |
| • Oxygen Equipment & Supplies | • Surgical Dressings |
| • Ultraviolet Light Devices | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
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 Sixth Ave No, Centracare Clinic
St Cloud, Minnesota |
| Zip: | 56303-2735 |
| Phone Number: | 320-252-5131 |
| Fax Number: | 320-650-1777 |
Patients can reach Centracare Clinic at
1200 Sixth Ave No, Centracare Clinic, St Cloud, Minnesota or can
call on customer care at 320-252-5131.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.