Centracare Clinic
Centracare Clinic is a healthcare organization registered as Multi-Specialty Clinic/Center in St Cloud, MN, holding Type 2 (organization) NPI 1043212665 since 2005. The authorized official on file is Michael Blair, Sr Vp & Cfo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1043212665 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Centracare Clinic |
| Other name | <Unavail> |
| Parent organization | Centracare Clinic |
| Practice address | 1200 SIXTH AVE NO, CENTRACARE CLINIC, St Cloud, MN, 56303 |
| Phone | 3202525131 |
| Fax | 3206501777 |
| Enumeration date | 2005-08-12 |
| Last updated in NPPES | 2026-04-06 |
Authorized official
| Name | Michael Blair |
|---|---|
| Title | Sr Vp & Cfo |
| Phone | 3202555665 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35580 | Other | — | HEALTH PARTNERS |
| 110890 | Other | — | U CARE |
| 6D053CE | Other | — | BLUE CROSS BLUE SHIELD |
| 9804122 | Other | MN | MEDICA |
| 990228700 | Medicaid | MN | — |
| N002912 | Other | — | CHAMPUS |
Copy-ready billing details
Provider: Centracare Clinic NPI: 1043212665 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 1200 SIXTH AVE NO, CENTRACARE CLINIC, St Cloud, MN, 56303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003898230 | Oluade Ajayi | Individual | Neonatal-Perinatal Medicine Physician | St Cloud, MN |
| 1245213859 | Warren Ishida | Individual | Neurological Surgery Physician | St Cloud, MN |
| 1386624310 | Aaron Holmgren | Individual | Rheumatology Physician | St Cloud, MN |
| 1780656702 | Iris Brossard | Individual | Neurology Physician | St Cloud, MN |
| 1225003312 | Brent Esterberg | Individual | Surgical Physician Assistant | St Cloud, MN |
| 1508834136 | James Romanowsky | Individual | Neurology Physician | St Cloud, MN |
| 1518927433 | Chad Haroldson | Individual | Nephrology Physician | St Cloud, MN |
| 1508829037 | Sarah Carter | Individual | Internal Medicine Physician | St Cloud, MN |
Verify this record
Cross-check NPI 1043212665 against the authoritative CMS record: view Centracare Clinic on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Centracare Clinic located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-06.