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Centracare Clinic

Multi-Specialty Clinic/Center in St Joseph, MN · enumerated 2005 · authorized official Michael Blair, Sr Vp & Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134121759

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Registry record

Entity type Organization (Type 2)
Legal business name Centracare Clinic
Other name <Unavail>
Parent organization Centracare Clinic
Practice address 1360 Elm Street East, Centracare Clinic - St Joseph, St Joseph, MN, 56374
Enumeration date Aug 12, 2005
Last updated in NPPES Jun 23, 2025

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Michael Blair
Title Sr Vp & Cfo

Other identifiers

Identifier Type State Issuer
98-01789 Other - MEDICA
NA930 Other MN PREF ONE
NA133 Other - PREF ONE
110964 Other - UCARE
86D71CE Other - BCBS
35580 Other - HEALTH PARTNERS
990228700 Medicaid MN -

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.

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Frequently asked questions

Who is the authorized official for Centracare Clinic?
NPPES lists Michael Blair (Sr Vp & Cfo) as the authorized official for this organization.
What is the NPI number for Centracare Clinic?
The NPI for Centracare Clinic is 1134121759, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-23.