OrganizationActive
Odam Medical Group
NPI 1902392525 · Primary Care Clinic/Center · Saint Cloud, MN
Provider details
- NPI number
- 1902392525
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Larbi-Odam, Ceo(612) 871-2312
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1521 Northway Dr Ste 116
Saint Cloud, MN 56303-1274
Phone: (320) 774-3800
Fax: (320) 774-3360
Street-level locationGet directions
Mailing address
1521 Northway Dr Ste 116
Saint Cloud, MN 56303-1274
Other names (DBA / former)
- Other name
- Odam Medical Group - St. Cloud
- Other name
- Odam Medical Group - St. Cloud
Additional practice locations (1)
- 435 Main St W Ste BRice, MN 56367-9516Phone: (320) 774-3800Fax: (320) 774-3360
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.