OrganizationActive
Centracare Clinic
NPI 1013104348 · Multi-Specialty Clinic/Center · Big Lake, MN
Provider details
- NPI number
- 1013104348
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Centracare Clinic
- Organization subpart
- Yes
- Authorized official
- Michael Blair, Sr Vp & Cfo(320) 255-5665
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16830 198th Ave Nw
Centracare Clinic - Big Lake
Big Lake, MN 55309-4860
Phone: (763) 263-7300
Fax: (763) 263-7338
Street-level locationGet directions
Mailing address
1200 6th Ave N
Saint Cloud, MN 56303-2736
Other names (DBA / former)
- Doing business as
- Centracare - Big Lake Clinic
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.