Provider Demographics
NPI:1457495327
Name:DIOCESE OF ST. CLOUD
Entity Type:Organization
Organization Name:DIOCESE OF ST. CLOUD
Other - Org Name:OFFICE OF MARRIAGE & FAMILY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CODDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-252-4721
Mailing Address - Street 1:305 7TH AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-3633
Mailing Address - Country:US
Mailing Address - Phone:320-252-4721
Mailing Address - Fax:320-258-7658
Practice Address - Street 1:305 7TH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-3633
Practice Address - Country:US
Practice Address - Phone:320-252-4721
Practice Address - Fax:320-258-7658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN133802OtherCHOICE PLUS
MN01-09658OtherMEDICA
MN6G221NAOtherBCBS
MN925811013394OtherPREFERREDONE