ESSENTIA HEALTH ST MARYS - DETROIT LAKES (SWINGBED)
NPI 1134118250
Medicare Defined Swing Bed Unit in Detroit Lakes, MN
NPI Status: Active since October 20, 2005
Contact Information
1027 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-5611
Fax: (218) 847-0881
- Organization
- Medicare Defined Swing Bed Unit
- Accepts Insurance
- CLIA Number: 24D0888374
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 06-30-2026
About ESSENTIA HEALTH ST MARYS - DETROIT LAKES (SWINGBED)
This page provides the complete NPI Profile along with additional information for Essentia Health St Marys - Detroit Lakes (swingbed), a provider established in Detroit Lakes, Minnesota operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1134118250 assigned on October 2005. The practitioner's primary taxonomy code is 275N00000X. 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 Marys - Detroit Lakes (swingbed). The authorized official of this NPI record is Alan Hurley (Coo)
- NPI
- 1134118250
- Provider Legal Name
- ST MARY'S REGIONAL HEALTH CENTER
- Other Organization Name
- ESSENTIA HEALTH ST MARYS - DETROIT LAKES (SWINGBED)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1027 WASHINGTON AVE DETROIT LAKES, MN 56501
- Location Phone
- (218) 847-5611
- Location Fax
- (218) 847-0881
- Mailing Address
- 1027 WASHINGTON AVE DETROIT LAKES, MN 56501
- Mailing Phone
- (218) 847-5611
- Mailing Fax
- (218) 847-0881
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-20-2005
- Last Update Date
- 03-01-2024
- 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
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0888374
- Facility Type
- Ambulance
- Certificate Effective Date
- July 01, 2024
- Certificate Expiration Date
- June 30, 2026
- Laboratory Director
- JOSEPH M. NEWTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Essentia Health St Marys - Detroit Lakes (swingbed) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ESSENTIA HEALTH ST MARYS - DETROIT LAKES (SWINGBED)
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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 | 1 | 3 | 4 | 1 | 1 | 8 | 2 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 1 | 16 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 1 + 1 + 6 + 2 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1134118250 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689662983 | DR. RICHARD EMIL MARTIN MD Individual | Emergency Medicine (Emergency Medical Services) | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1588653331 | DR. LARRY DEAN KOBRIGER MD Individual | Emergency Medicine (Emergency Medical Services) | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1366410540 | RUSSELL H SAUER Individual | Nurse Anesthetist, Certified Registered | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1558317644 | NEIL E JONASON MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1245287010 | GEORGE A PORTILLA MD Individual | Surgery | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1710934609 | ANITA T JONASON MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1558318428 | SHIVAN KULASINGHAM MD Individual | Internal Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1366499550 | A. DOUGLAS LANDERS MD Individual | Radiology (Diagnostic Radiology) | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1265472393 | ROBERT A KOSHNICK MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1487694493 | WILLIAM C HENKE MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1104866847 | JULIE A PAZDERNIK MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1275573891 | MARNA M CROW CNM Individual | Advanced Practice Midwife | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1528009123 | JAMES M CHRISTENSEN MD Individual | Obstetrics & Gynecology | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1639110265 | MICHELLE R ENGLAND MSW Individual | Social Worker | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1679514210 | PAUL L HENDRICKSON MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1396786679 | ABIGAIL K RING MD Individual | Family Medicine | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1386687408 | MICHAEL EDWARD STEWART M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1528090719 | GREGORY J POST MD Individual | Urology | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1861410417 | DEBRA D JELLISON CRNA Individual | Nurse Anesthetist, Certified Registered | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
| 1942495627 | MRS. CHENTEL SPRING DANGERUD PA-C Individual | Physician Assistant | 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 (218) 847-5611 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134118250, enumerated in the NPI registry as an "organization" on October 20, 2005
The provider is located at 1027 Washington Ave Detroit Lakes, Mn 56501 and the phone number is (218) 847-5611
This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D0888374 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 20, 2005. 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.