CentraCare Health - Sauk Centre Clinic – Rural Health Clinic/Center, NPI 1578813762

CentraCare Health - Sauk Centre Clinic is a healthcare provider. based in Saint cloud, Minnesota. specializing in Rural Health Clinic/Center. The NPI Number for CentraCare Health - Sauk Centre Clinic is 1578813762

Main info

Organization
Name
CentraCare Health - Sauk Centre Clinic
NPI
1578813762
Phone
(320) 352-2221
Address
1200 6TH AVE N
Authorized Official
MR. MICHAEL A. BLAIR SR. VICE PRESIDENT AND CFO
Enumeration Date
14 September 2012
Deactivation Date
25 January 2023
Reactivation Date
30 January 2023
Last Update Date
30 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for CentraCare Health - Sauk Centre Clinic

  • 1200 6TH AVE N

    SAINT CLOUD, MN 563032735

    Phone: (320) 352-2221

    Fax: (320) 352-5150

    Type: Mailing

  • 425 ELM ST N

    SAUK CENTRE, MN 563781010

    Phone: (320) 352-2221

    Fax: (320) 352-5150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130122000550ORural Health ClinicMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56303)

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Reviews

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Frequently asked questions

Is there an official ID for CentraCare Health - Sauk Centre Clinic in U.S. healthcare records?
The official identifier for CentraCare Health - Sauk Centre Clinic is NPI 1578813762.
Active or inactive — what applies to CentraCare Health - Sauk Centre Clinic?
You should see CentraCare Health - Sauk Centre Clinic as active in CMS-hosted NPPES data.
How would a patient describe CentraCare Health - Sauk Centre Clinic's focus?
For CentraCare Health - Sauk Centre Clinic, the primary taxonomy reads as Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is CentraCare Health - Sauk Centre Clinic located near Saint Cloud?
CentraCare Health - Sauk Centre Clinic currently maps to Saint Cloud, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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