MEMORY CARE CLINIC
NPI 1205940863
Clinic/Center in Saint Cloud, MN

NPI Status: Active since August 19, 2006

Contact Information

2835 W SAINT GERMAIN ST
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 257-1777
Fax: (320) 257-1776

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  • Organization
  • Clinic/Center

About MEMORY CARE CLINIC

This page provides the complete NPI Profile along with additional information for Memory Care Clinic, a provider established in Saint Cloud, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1205940863 assigned on August 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 1200898-2 (MN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Sandra L. Wenner (Executive Director)

NPI
1205940863
Provider Name
MEMORY CARE CLINIC
Entity Type
Organization
Location Address
2835 W SAINT GERMAIN ST SAINT CLOUD, MN 56301
Location Phone
(320) 257-1777
Location Fax
(320) 257-1776
Mailing Address
2835 W SAINT GERMAIN ST P.O. BOX 7776 SAINT CLOUD, MN 56301
Mailing Phone
(320) 257-1777
Mailing Fax
(320) 257-1776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
10-19-2009
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
1200898-2
License State
MN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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

SANDRA L. WENNER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(320) 257-1777

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
CO4052OTHER (01)MNMEDICARE PROVIDER GROUP NUMBER
567188400MEDICAID (05)MN 

Reviews for MEMORY CARE CLINIC

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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.
1205940863
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051840812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 4 + 0 + 8 + 1 + 2 + 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 = 33

The NPI number 1205940863 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962485441 BOBBI SMITH SLP
Individual
Speech-Language Pathologist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1447233929 TAMMY KOSEK CCC-SLP
Individual
Speech-Language Pathologist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1639152135 KIRSTEN BECKER PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1104809698 ELIZABETH STIENESSEN OTR/L
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1639152127 ROBBIE HOLEN OTR/L
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1184607699 SUE PECK PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1740263250 MICHELLE SCHLUENDER PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1982687489 SUE TEMBROCK OTR/L
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1205890902 SANDRA LAVERNE PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1194789800 SALLY PITZEN RN
Individual
Registered Nurse (Home Health)2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1366406431 CAREN HEINEN RN
Individual
Registered Nurse (Home Health)2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1881646057 MARGARET FURCHT PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1477506715 JOAN THRALOW OT
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1679526727 MARTHA CHRISTENSEN RN
Individual
Registered Nurse2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1326092164 KATHLEEN TRUEMAN OT
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1932148368 VALERIE BENGTSON OTR
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1114004835 MARY ELIZABETH KING OTR
Individual
Occupational Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1154485365 STAR MOREE PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1245449727 ALICE BUCKALEW PT
Individual
Physical Therapist2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151
1760663546 TAMARA JEAN HUESERS LSW
Individual
Social Worker2835 W SAINT GERMAIN ST SUITE 300
SAINT CLOUD, MN 56301
(320) 259-4151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205940863, enumerated in the NPI registry as an "organization" on August 19, 2006

The provider is located at 2835 W Saint Germain St Saint Cloud, Mn 56301 and the phone number is (320) 257-1777

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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 August 19, 2006. 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.