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Export Provider Record NPI 1013966175
St. Cloud Hospital
Organization Subpart: NO
Active
NPI Number1013966175
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1013966175
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-08
Last Updated2022-04-20
Authorized OfficialMatthew Kunkel
Vice President
Phone: 3202512700
Mailing Address1900 Centracare Circle, Suite 1350
St Cloud, MN 56303
United States
Phone: (320) 229-4904 | Fax: (320) 229-5168
📍 View Map
Primary Practice Address1900 Centracare Circle, Suite 1350
St Cloud, MN 56303
United States
Phone: (320) 229-4904 | Fax: (320) 229-5168
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMN05092Y800
Other (non-Medicare)2424543NCPDP
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail PharmacyMN2620682
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About NPI 1013966175

St. Cloud Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1013966175. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in St Cloud, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013966175?

NPI 1013966175 belongs to St. Cloud Hospital, a Pharmacy, Community/Retail Pharmacy in St Cloud, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013966175 active?

The current status of NPI 1013966175 in the NPPES registry is Active. The record was last updated on 2022-04-20.

What specialty is NPI 1013966175?

NPI 1013966175 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013966175?

You can verify NPI 1013966175 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013966175?

The primary practice address on file for NPI 1013966175 is 1900 Centracare Circle, St Cloud, MN 56303. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013966175 issued?

NPI 1013966175 was first issued (enumerated) on 2006-05-08. The NPPES record was last updated on 2022-04-20.

Practice Location Map

St. Cloud Hospital is located at 1900 Centracare Circle, St Cloud, MN. Use the map below to find directions or verify the practice location.

📍 1900 Centracare Circle, St Cloud, MN 56303  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as St. Cloud Hospital. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013966175. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy2620682MN
Data Verified from CMS NPPES Last synced: 2026-06-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162