OrganizationActive
St. Cloud Hospital
NPI 1922057421 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Staples, MN
Provider details
- NPI number
- 1922057421
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Blair, Sr. Vice President and Cfo(320) 255-5665
- License
- 331506 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
403 East Prairie Ave
Staples, MN 56479
Phone: (218) 894-0026
Fax: (320) 656-7009
Approximate (ZIP-level) locationGet directions
Mailing address
1406 6th Ave N
Saint Cloud, MN 56303-1900
Other names (DBA / former)
- Doing business as
- Centracare Kidney Program - Staples Dialysis
- Doing business as
- Centracare Kidney Program - Staples Dialysis
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.