CENTRACARE SLEEP CENTER – NPI #1295910727
Clinic/Center

CENTRACARE SLEEP CENTER is an AHC clinic located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1295910727 to CENTRACARE SLEEP CENTER on January 03, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRACARE SLEEP CENTER” is a dba name, the actual legal business name for this organization is CENTRACARE CLINIC. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was previously updated about 6 years ago on Nov 19, 2020. 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 SLEEP CENTER below.

NPI Profile for
CENTRACARE CLINIC

NPI Number
1295910727
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRACARE CLINIC
Doing Business As (dba): CENTRACARE SLEEP CENTER
Primary location
1586 COUNTY ROAD 134
CENTRACARE CLINIC SLEEP CENTER
SAINT CLOUD, MN 56303
Phone: (320) 251-2700 Fax:
Mailing address
1200 6TH AVE N
SAINT CLOUD, MN 56303-2736
Phone: (320) 229-4977 Fax:
Organization Subpart
Yes - CENTRACARE SLEEP CENTER is subpart of another organization.
Authorized Official
MICHAEL BLAIR
SR VP & CFO
Phone: (320) 255-5665
Updated
Certification Date
Nov 19, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (Primary)

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.