ESSENTIA HEALTH GRAND RAPIDS CLNIC
NPI 1093152423
Clinic/Center - Critical Access Hospital in Grand Rapids, MN
NPI Status: Active since May 24, 2013
Contact Information
1542 GOLF COURSE RD
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 999-7099
Fax: (218) 999-7099
- Organization
- Clinic/Center
- Critical Access Hospital
About ESSENTIA HEALTH GRAND RAPIDS CLNIC
This page provides the complete NPI Profile along with additional information for Essentia Health Grand Rapids Clnic, a provider established in Grand Rapids, Minnesota operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1093152423 assigned on May 2013. The practitioner's primary taxonomy code is 261QC0050X with license number 361503 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Essentia Health Grand Rapids Clnic. The authorized official of this NPI record is Brenda Moos (Manager-revenue Integrity)
- NPI
- 1093152423
- Provider Legal Name
- DEER RIVER HEALTHCARE CENTER, INC.
- Other Organization Name
- ESSENTIA HEALTH GRAND RAPIDS CLNIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1542 GOLF COURSE RD GRAND RAPIDS, MN 55744
- Location Phone
- (218) 999-7099
- Location Fax
- (218) 999-7099
- Mailing Address
- 1542 GOLF COURSE RD GRAND RAPIDS, MN 55744
- Mailing Phone
- (218) 999-7099
- Mailing Fax
- (218) 999-7099
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-24-2013
- Last Update Date
- 10-18-2013
- Code Navigator
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 Critical Access Hospital
- Taxonomy Code
- 261QC0050X
- Type
- Ambulatory Health Care Facilities
- License No.
- 361503
- License State
- MN
- Taxonomy Description
- An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1093152423 | MEDICAID (05) | MN | |
| 241360 | MEDICARE OSCAR/CERTIFICATION (06) | MN | |
| C06025 | MEDICARE PIN (08) | MN |
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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. | |||||||||
| 1 | 0 | 9 | 3 | 1 | 5 | 2 | 4 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 2 | 5 | 4 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 2 + 5 + 4 + 4 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1093152423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700879756 | DR. JOHN A MORAN M.D. Individual | Ophthalmology | 1542 GOLF COURSE RD SUITE 201 GRAND RAPIDS, MN 55744 (218) 326-3433 |
| 1245288984 | ITASCA SURGICAL CLINIC, PA Organization | Specialist | 1542 GOLF COURSE RD SUITE 202 GRAND RAPIDS, MN 55744 (218) 327-7973 |
| 1235176108 | RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP Organization | Clinic/Center (Physical Therapy) | 1542 GOLF COURSE RD SUITE 104 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1053351817 | JOHN L BONNER EYE CLINIC LTD Organization | Ophthalmology | 1542 GOLF COURSE RD SUITE 201 GRAND RAPIDS, MN 55744 (218) 326-3433 |
| 1447287297 | LISA K BRINK PT Individual | Physical Therapist | 1542 GOLF COURSE RD SUITE 4 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1528173846 | DR. LEROY TAYLOR KINCANNON III O.D. Individual | Optometrist | 1542 GOLF COURSE RD SUITE 201 GRAND RAPIDS, MN 55744 (218) 326-3433 |
| 1659578417 | BARRY J PEDERSON DPT CSCS Individual | Physical Therapist | 1542 GOLF COURSE RD SUITE 104 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1376734418 | SUSAN L ANDERSON RNFA Individual | Registered Nurse | 1542 GOLF COURSE RD SUITE 202 GRAND RAPIDS, MN 55744 (218) 327-7973 |
| 1659509362 | LANEA D JOHNSON OTR/L Individual | Occupational Therapist | 1542 GOLF COURSE RD SUITE 104 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1174854350 | RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP Organization | Durable Medical Equipment & Medical Supplies | 1542 GOLF COURSE RD SUITE 104 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1669460267 | JAMES RAYMOND SPENNINGSBY MD Individual | Ophthalmology | 1542 GOLF COURSE RD SUITE 201 GRAND RAPIDS, MN 55744 (218) 326-3433 |
| 1871926691 | MR. ANDREW MICHAEL MCCANN PT Individual | Physical Therapist | 1542 GOLF COURSE RD SUITE 104 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1104217785 | SARAH JEAN LEVAR Individual | Occupational Therapist | 1542 GOLF COURSE RD SUITE 104 GRAND RAPIDS, MN 55744 (218) 326-3300 |
| 1366498784 | DR. TIMOTHY CHARLES BONNER M.D. Individual | Ophthalmology | 1542 GOLF COURSE RD SUITE 201 GRAND RAPIDS, MN 55744 (218) 326-3433 |
| 1083727200 | DANIEL J MARGO M.D. Individual | Surgery | 1542 GOLF COURSE RD GRAND RAPIDS, MN 55744 (218) 327-7973 |
| 1376582908 | DR. M. JERRY ZAPANTA MARIANO M.D. Individual | Ophthalmology | 1542 GOLF COURSE RD SUITE 201 GRAND RAPIDS, MN 55744 (218) 326-3433 |
| 1265487474 | HORSESHOE SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 1542 GOLF COURSE RD SUITE 105 GRAND RAPIDS, MN 55744 (218) 326-0667 |
| 1578290698 | MS. KRISTINA ANNE HADEN APRN, CNP Individual | Nurse Practitioner (Family) | 1542 GOLF COURSE RD GRAND RAPIDS, MN 55744 (218) 999-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093152423, enumerated in the NPI registry as an "organization" on May 24, 2013
The provider is located at 1542 Golf Course Rd Grand Rapids, Mn 55744 and the phone number is (218) 999-7099
This medical organization specializes in Clinic/Center with taxonomy code 261QC0050X with a focus in Critical Access Hospital
The provider might be accepting Accepts: Medicare and Medicaid. 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 May 24, 2013. 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].
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