Centracare Clinic
NPI 1164978219ActiveOrganization· Clinic/Center· Saint Cloud, MN
Clinic/Center in Saint Cloud, Minnesota, registered in NPPES in August 2016. The authorized official on file is Michael A. Blair, Sr Vp & Cfo. Enrolled in Medicare as dme supplier - physician - plastic and reconstructive surgery.
Overview
| NPI | 1164978219 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2016 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Plastic and Reconstructive Surgery (MN) |
|---|
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