ESSENTIA HEALTH ST JOSEPH'S DEERWOOD CLINIC
NPI 1033814066
Clinic/Center - Multi-Specialty in Deerwood, MN

NPI Status: Active since March 31, 2023

Contact Information

24087 CUYUNA ST
DEERWOOD, MN
ZIP 56444
Phone: (218) 833-5160
Fax: (218) 833-5169

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ESSENTIA HEALTH ST JOSEPH'S DEERWOOD CLINIC

This page provides the complete NPI Profile along with additional information for Essentia Health St Joseph's Deerwood Clinic, a provider established in Deerwood, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1033814066 assigned on March 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Essentia Health St Joseph's Deerwood Clinic. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)

NPI
1033814066
Provider Legal Name
ST JOSEPH'S MEDICAL CENTER
Other Organization Name
ESSENTIA HEALTH ST JOSEPH'S DEERWOOD CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24087 CUYUNA ST DEERWOOD, MN 56444
Location Phone
(218) 833-5160
Location Fax
(218) 833-5169
Mailing Address
24087 CUYUNA ST DEERWOOD, MN 56444
Mailing Phone
(218) 833-5160
Mailing Fax
(218) 833-5169
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-31-2023
Last Update Date
02-27-2024
Code Navigator



Essentia Health St Joseph's Deerwood Clinic is a medicare supplier with PTAN 20569349 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN BOREN

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(218) 786-1009

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20569349
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Reviews for ESSENTIA HEALTH ST JOSEPH'S DEERWOOD CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033814066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631618012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 6 + 1 + 8 + 0 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1033814066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154950962 JAMIE DON LAUWAGIE MD
Individual
Family Medicine24087 CUYUNA ST
DEERWOOD, MN 56444
(182) 833-5160
1477253045BRAINERD MEDICAL CENTER INC
Organization
Pharmacy (Community/Retail Pharmacy)24087 CUYUNA ST STE 100
DEERWOOD, MN 56444
(218) 833-5170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033814066, enumerated in the NPI registry as an "organization" on March 31, 2023

The provider is located at 24087 Cuyuna St Deerwood, Mn 56444 and the phone number is (218) 833-5160

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 31, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.