CENTRACARE CLINIC


Address: 166 19th Street S, Suite 202, Sartell, MN 56377
Phone: 3202295105

CENTRACARE CLINIC (NPI# 1962958611) 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) 1962958611
Entity Type Organization
Organization Name CENTRACARE CLINIC
Other Organization Name CENTRAL MINNESOTA CHILD ADVOCACY CENTER
Practice Address 166 19th Street S
Suite 202
Sartell
MN 56377
Mailing Address 1200 6th Ave N
Saint Cloud
MN 56303-2735
Practice Telephone 3202295105
Practice Fax Number 3202003207
Enumeration Date 2016-08-31
Last Update Date 2016-11-17
Authorized Official Name THOMAS FELDHEGE (CFO)
Authorized Official Telephone 3202402152
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization MN Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Central Minnesota Child Advocacy Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003339789 Centracare Clinic Clinic/Center 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 2017-07-25
1720500309 Centracare Clinic Clinic/Center 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 2017-07-14
1881116747 Centracare Clinic Clinic/Center 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 2017-07-12
1558898387 Centracare Clinic Clinic/Center 161 Glen St., Ste 101, Foley, MN 56329 2017-05-11
1164958104 Centracare Clinic Clinic/Center 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 2017-05-11
1770020489 Centracare Clinic Clinic/Center 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 2017-01-20
1679025746 Centracare Clinic Clinic/Center 7418 Forthun Rd, Baxter, MN 56425-8702 2016-10-25
1700281953 Centracare Clinic Urology 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 2014-10-30
1043212665 Centracare Clinic Clinic/Center 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 2005-08-12
1881696490 Centracare Clinic Durable Medical Equipment & Medical Supplies 1555 Northway Drive, St Cloud, MN 56303 2005-08-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CENTRACARE CLINIC RIVER CAMPUS 1200 6th Ave N, Saint Cloud, MN 56303-2735

Office Location

Street Address 166 19TH STREET S
SUITE 202
City SARTELL
State MN
Zip Code 56377

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235783515 Chae Norman Massage Therapist 303 4th Ave S, Suite C, Sartell, MN 56377 2019-07-25
1497317259 Stephanie Maria Schaefer Behavioral Analyst 1133 Mockingbird Loop, Sartell, MN 56377 2019-07-02
1538722848 Madison Toughill Behavior Technician 205 14th Ave E, Sartell, MN 56377 2019-04-22
1902388671 Julie Ann Helms Counselor 101 Dehler Dr., Sartell, MN 56377 2018-08-30
1104337617 Louis Chester Winskowski IIi Orthotist 50 14th Ave E Suite 114, Sartell, MN 56377 2017-10-24
1295197846 Mindful Healing & Training Counselor 1417 15th Street South, Sartell, MN 56377 2016-03-23
1710342894 Saint Cloud Hospital St. Benedict's Senior Community Skilled Nursing Facility 990 19th St. S., Sartell, MN 56377 2015-12-16
1932452661 David Peter Pogatchnik Pharmacist 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 2012-10-18
1669759866 Lakewood Health System Clinic/Center 161 19th St S Ste 106, Sartell, MN 56377 2011-11-16
1720387624 Sleep Therapy Durable Medical Equipment & Medical Supplies 2157 Troop Dr Ste 100, Sartell, MN 56377 2011-03-18
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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City SARTELL
Zip Code 56377

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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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