ST CLOUD HOSPITAL


Address: 30 25th Ave S, Saint Cloud, MN 56301-6285
Phone: 3202512700

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
CentraCare Kidney Program - South St Cloud Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 30 25TH AVE S
City SAINT CLOUD
State MN
Zip Code 56301-6285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871995415 Meesa Dialysis LLC Clinic/Center 30 25th Ave S, Saint Cloud, MN 56301-6285 2014-09-25

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAINT CLOUD
Zip Code 56301

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Dataset Information

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.

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