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Centracare Clinic

NPI 1700281953ActiveOrganization· Urology· Sartell, MN

Urology in Sartell, Minnesota, registered in NPPES in October 2014, part of Centracare Clinic. The authorized official on file is Michael A. Blair, Sr Vp & Cfo. Enrolled in Medicare as dme supplier - physician - general practice.

Overview

NPI1700281953
StatusActive
Entity typeOrganization (subpart)
Parent organizationCentracare Clinic
NPI issuedOct 30, 2014
Last updated in NPPESSep 17, 2026
Certified by providerSep 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Urology Primary208800000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - General Practice (MN)

Medicare sources and data years

Other Urology providers in Sartell

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