Centracare Clinic
Centracare Clinic is a healthcare organization registered as Multi-Specialty Clinic/Center in Saint Cloud, MN, holding Type 2 (organization) NPI 1225030844 since 2005. The authorized official on file is Michael Blair, Sr Vp & Cfo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1225030844 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Centracare Clinic |
| Other name | <Unavail> |
| Parent organization | Centracare Clinic |
| Practice address | 1900 CENTRACARE CIR, Saint Cloud, MN, 56303 |
| Phone | 3206543630 |
| Fax | 3206543667 |
| Enumeration date | 2005-08-12 |
| Last updated in NPPES | 2026-03-31 |
Authorized official
| Name | Michael Blair |
|---|---|
| Title | Sr Vp & Cfo |
| Phone | 3202555665 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Secondary | — | MN |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052720300 | Medicaid | MN | — |
| NA139 | Other | — | PREF ONE |
| 35580 | Other | — | HEALTH PARTNERS |
| 110382 | Other | — | UCARE |
| 98-12146 | Other | — | MEDICA |
| 50A45CE | Other | — | BCBS |
| 50A61CE | Other | — | BCBS |
Copy-ready billing details
Provider: Centracare Clinic NPI: 1225030844 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 1900 CENTRACARE CIR, Saint Cloud, MN, 56303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407858020 | Centracare Clinic | Organization | Multi-Specialty Clinic/Center | Saint Cloud, MN |
| 1487644134 | Jeanne Notsch | Individual | Adult Health Nurse Practitioner | Saint Cloud, MN |
| 1992795652 | Douglas Watkins | Individual | Geriatric Medicine (Family Medicine) Physician | Saint Cloud, MN |
| 1366432015 | Kathryn Mechelke | Individual | Family Medicine Physician | Saint Cloud, MN |
| 1982694659 | Paul Dorsher | Individual | Gastroenterology Physician | Saint Cloud, MN |
| 1679563274 | Peter Nelson | Individual | Gastroenterology Physician | Saint Cloud, MN |
| 1528058930 | Scot Hutton | Individual | Gastroenterology Physician | Saint Cloud, MN |
| 1831189240 | Mark Holm | Individual | Endocrinology, Diabetes & Metabolism Physician | Saint Cloud, MN |
Verify this record
Cross-check NPI 1225030844 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
What is a Type 2 NPI?
What type of organization is Centracare Clinic?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-31.