CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS – NPI #1760431266
Clinic/Center
CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS is an AHC clinic located in ALEXANDRIA, MN. NPPES has assigned the NPI number 1760431266 to CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS on May 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS” is a dba name, the actual legal business name for this organization is ST. CLOUD HOSPITAL. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 7 years ago on Oct 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS below.
NPI Profile for
ST. CLOUD HOSPITAL
(more than 20 years ago)
ALEXANDRIA, MN 56308 Phone: (320) 762-1226 Fax: (320) 656-7009
SAINT CLOUD, MN 56303-1900 Phone: (320) 251-2700 Fax: (320) 656-7009
SR. VICE PRESIDENT & CFO
Phone: (320) 255-5665
Identifiers for CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MN | 883747300 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
MN | 331506 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.