MINNESOTA SPECIALTY HEALTH SYSTEM CAMBRIDGE
NPI 1073892774
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cambridge, MN

NPI Status: Active since August 11, 2011

Contact Information

1425 E RUM RIVER DR S
CAMBRIDGE, MN
ZIP 55008
Phone: (651) 431-3691
Fax: (651) 431-7505

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About MINNESOTA SPECIALTY HEALTH SYSTEM CAMBRIDGE

This page provides the complete NPI Profile along with additional information for Minnesota Specialty Health System Cambridge, a provider established in Cambridge, Minnesota operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073892774 assigned on August 2011. The practitioner's primary taxonomy code is 320600000X with license number 804294-9-RS-N (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Lori Zook (Controller)

NPI
1073892774
Provider Name
MINNESOTA SPECIALTY HEALTH SYSTEM CAMBRIDGE
Entity Type
Organization
Location Address
1425 E RUM RIVER DR S CAMBRIDGE, MN 55008
Location Phone
(651) 431-3691
Location Fax
(651) 431-7505
Mailing Address
PO BOX 64979 SAINT PAUL, MN 55164
Mailing Phone
(651) 431-3691
Mailing Fax
(651) 431-7505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2011
Last Update Date
08-11-2011
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
804294-9-RS-N
License State
MN
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

LORI ZOOK

Authorized Official Title
CONTROLLER
Authorized Official Phone
(651) 431-3691

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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.
1073892774
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431694714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 6 + 9 + 4 + 7 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1073892774 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871648667 CARLA L HEINO DDS
Individual
Dentist1425 E RUM RIVER DR S
CAMBRIDGE, MN 55008
(763) 689-7306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073892774, enumerated in the NPI registry as an "organization" on August 11, 2011

The provider is located at 1425 E Rum River Dr S Cambridge, Mn 55008 and the phone number is (651) 431-3691

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on August 11, 2011. 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.