St. Cloud State University Medical Clinic And Pharmacy | |
720 4th Ave S Saint Cloud MN 56301-4442 | |
(320) 308-3193 | |
(320) 308-3192 |
Full Name | St. Cloud State University Medical Clinic And Pharmacy |
---|---|
Speciality | Clinic/center - Student Health |
Location | 720 4th Ave S, Saint Cloud, Minnesota |
Authorized Official Name and Position | Kimberly Ohmann (ASSCOATE DIRECTOR) |
Authorized Official Contact | 3203084872 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Cloud State University Medical Clinic And Pharmacy 720 4th Ave S Saint Cloud MN 56301-4442 Ph: (320) 308-3193 | St. Cloud State University Medical Clinic And Pharmacy 720 4th Ave S Saint Cloud MN 56301-4442 Ph: (320) 308-3193 |
NPI Number | 1013993401 |
---|---|
Provider Enumeration Date | 12/19/2005 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013993401 | NPI | - | NPPES |
1013993401 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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