ST. CLOUD HOSPITAL

BIG LAKE, MN
NPI1801845391
Doing Business AsCENTRACARE KIDNEY PROGRAM - BIG LAKE DIALYSIS
Entity TypeOrganization
Authorized ContactMICHAEL A. BLAIR
Sr. Vice President And CFO
320-255-5665
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Additional Taxonomies261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: MN  331506)
Enumeration Date2006-05-10
Last Update Date2019-10-10
Business Address
ST. CLOUD HOSPITAL
16830 198TH AVE NW BIG LAKE CLINIC
BIG LAKE, MN 55309
Phone number: 763-263-7320
Mailing Address
ST. CLOUD HOSPITAL
1406 6TH AVE NORTH
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700