ST CLOUD HOSPITAL (NPI# 1043757404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043757404 |
Entity Type | Organization |
Organization Name | ST CLOUD HOSPITAL |
Other Organization Name | CENTRACARE KIDNEY PROGRAM - SOUTH ST CLOUD |
Practice Address |
30 25th Ave S Saint Cloud MN 56301-6285 |
Mailing Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
Practice Telephone | 3202512700 |
Mailing Telephone | 3202512700 |
Mailing Fax Number | 3206567009 |
Enumeration Date | 2017-01-24 |
Last Update Date | 2017-01-24 |
Authorized Official Name | GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO) |
Authorized Official Telephone | 3202555665 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
MN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CentraCare Kidney Program - South St Cloud | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639332463 | St Cloud Hospital | Substance Abuse Rehabilitation Facility | 1420 2nd St N, Sauk Rapids, MN 56379-2533 | 2008-07-02 |
1861651549 | St Cloud Hospital | Substance Abuse Rehabilitation Facility | 121 Park Ave S, Saint Cloud, MN 56301-3780 | 2008-06-06 |
1124674478 | St Cloud Hospital | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2019-08-13 |
1629027123 | St Cloud Hospital | Clinic/Center | 1406 6th Ave North, Saint Cloud, MN 56303-1900 | 2006-05-10 |
Street Address |
30 25TH AVE S |
City | SAINT CLOUD |
State | MN |
Zip Code | 56301-6285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
Find all providers in zip 56301 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
1245410091 | South Central Florida Dialysis Partners LLC | Clinic/Center | 4750 Old Canoe Creek Rd, Saint Cloud, FL 34769-1430 | 2007-11-09 |
1699709824 | Dialysis Partners 1 Inc. | Clinic/Center | 220 Kissimmee Park Rd, Saint Cloud, FL 34769-1547 | 2006-07-11 |
1821047317 | St. Cloud Hospital | Clinic/Center | 2035 15th St N, Suite 220, Saint Cloud, MN 56303-1738 | 2006-05-10 |
1063880854 | Sunapee Dialysis LLC | Clinic/Center | 4750 Old Canoe Creek Rd, Saint Cloud, FL 34769-1430 | 2015-09-10 |
1083885990 | St. Cloud Hospital | Clinic/Center | 2035 15th St N, Suite 210, Saint Cloud, MN 56303-1738 | 2008-03-19 |
1891966701 | St. Cloud Hospital | Clinic/Center | 2035 15th St N, Suite 210, Saint Cloud, MN 56303-1738 | 2008-03-19 |
1629027123 | St Cloud Hospital | Clinic/Center | 1406 6th Ave North, Saint Cloud, MN 56303-1900 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
1225573777 | Atlantic Dialysis LLC | Clinic/Center | 1802 Commerce Dr, North Mankato, MN 56003-1800 | 2016-12-19 |
1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
1588067391 | Meesa Dialysis LLC | Clinic/Center | 245 Isle St W, Isle, MN 56342-4908 | 2014-10-07 |
Find all providers with the same taxonomy |
City | SAINT CLOUD |
Zip Code | 56301 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.