ANNEX TEEN CLINIC
NPI 1255462487
Clinic/Center - Family Planning, Non-Surgical in Robbinsdale, MN
NPI Status: Active since March 08, 2007
Contact Information
5810 42ND AVENUE NORTH
ROBBINSDALE, MN
ZIP 55422
Phone: (763) 533-1316
Fax: (763) 531-0315
- Organization
- Clinic/Center
- Family Planning, Non-Surgical
- Accepts Insurance
- CLIA Number: 24D0402317
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-31-2026
About ANNEX TEEN CLINIC
This page provides the complete NPI Profile along with additional information for Annex Teen Clinic, a provider established in Robbinsdale, Minnesota operating as a Clinic/center, focusing in family planning, non-surgical . The healthcare provider is registered in the NPI registry with number 1255462487 assigned on March 2007. The practitioner's primary taxonomy code is 261QF0050X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's former legal business name is North Suburban Youth Health Clinic, Inc. The authorized official of this NPI record is Diane Thompson Murray (Clinical Director)
- NPI
- 1255462487
- Provider Legal Name
- ANNEX TEEN CLINIC
- Other Organization Name
- NORTH SUBURBAN YOUTH HEALTH CLINIC, INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 5810 42ND AVENUE NORTH ROBBINSDALE, MN 55422
- Location Phone
- (763) 533-1316
- Location Fax
- (763) 531-0315
- Mailing Address
- 5810 42ND AVENUE NORTH ROBBINSDALE, MN 55422
- Mailing Phone
- (763) 533-1316
- Mailing Fax
- (763) 531-0315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2007
- Last Update Date
- 02-13-2012
- 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 Family Planning, Non-Surgical
- Taxonomy Code
- 261QF0050X
- Type
- Ambulatory Health Care Facilities
- License State
- MN
- Taxonomy Description
- An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
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 |
|---|---|---|---|
| 178182100 | MEDICAID (05) | MN |
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
- 24D0402317
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MICHELE L. VANVRANKEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Annex Teen Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 2 | 5 | 5 | 4 | 6 | 2 | 4 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 6 | 4 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 6 + 4 + 4 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1255462487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255462487, enumerated in the NPI registry as an "organization" on March 08, 2007
The provider is located at 5810 42nd Avenue North Robbinsdale, Mn 55422 and the phone number is (763) 533-1316
This medical organization specializes in Clinic/Center with taxonomy code 261QF0050X with a focus in Family Planning, Non-Surgical
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D0402317 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 08, 2007. 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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