NORTH MEMORIAL HEALTH CANCER
NPI 1285648295
Clinic/Center - Oncology in Maple Grove, MN
NPI Status: Active since July 27, 2006
Contact Information
9825 HOSPITAL DR STE 11
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 581-2800
- Organization
- Clinic/Center
- Oncology
- Accepts Insurance
- CLIA Number: 24D2008932
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-21-2026
About NORTH MEMORIAL HEALTH CANCER
This page provides the complete NPI Profile along with additional information for North Memorial Health Cancer, a provider established in Maple Grove, Minnesota operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1285648295 assigned on July 2006. The practitioner's primary taxonomy code is 261QX0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as North Memorial Health Cancer. The authorized official of this NPI record is Stephanie R Gale (Interim Cfo)
- NPI
- 1285648295
- Provider Legal Name
- NORTH MEMORIAL HEALTH CARE
- Other Organization Name
- NORTH MEMORIAL HEALTH CANCER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9825 HOSPITAL DR STE 11 MAPLE GROVE, MN 55369
- Location Phone
- (763) 581-2800
- Mailing Address
- PO BOX 735463 CHICAGO, IL 60673
- Mailing Phone
- (763) 581-2820
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-27-2006
- Last Update Date
- 12-09-2024
- Code Navigator
Location Map
Secondary Locations
- 3435 W Broadway Ave
Robbinsdale, MN 55422
(763) 520-1152
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 Oncology
- Taxonomy Code
- 261QX0200X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- 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.
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 |
|---|---|---|---|
| 96300 | OTHER (01) | PREFERREDONE | |
| 102369 | OTHER (01) | UCARE | |
| 671323800 | MEDICAID (05) | MN | |
| 4T901M1 | OTHER (01) | BCBS | |
| 30346 | OTHER (01) | HEALTH PARTNERS |
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
- 24D2008932
- Facility Type
- Physician Office
- Certificate Effective Date
- June 22, 2024
- Certificate Expiration Date
- June 21, 2026
- Laboratory Director
- BRANDI WITT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Memorial Health Cancer 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.
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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 | 8 | 5 | 6 | 4 | 8 | 2 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 4 | 16 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 4 + 1 + 6 + 2 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1285648295 is valid because the calculated check digit 5 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 1285648295, enumerated in the NPI registry as an "organization" on July 27, 2006
The provider is located at 9825 Hospital Dr Ste 11 Maple Grove, Mn 55369 and the phone number is (763) 581-2800
This medical organization specializes in Clinic/Center with taxonomy code 261QX0200X with a focus in Oncology
The provider might be accepting Accepts: HealthPartners, Medica, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D2008932 for a "physician office" 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 July 27, 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].
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