NPI 1003419268
Centracare Medical Supply LLC
Practice location
- Address
- 1033 19th Ave SW, Willmar, MN 56201-5005
- Phone
- (320) 235-8434
- Mailing address
- 1200 6th Ave N, Saint Cloud, MN 56303-2735
Authorised official
- Name
- Michael a Blair
- Title
- Sr Vp & Cfo
- Phone
- (320) 255-5665
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003419268
- Entity type
- Organization
- NPI issued
- 19 Nov 2020
- Record last updated
- 19 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.