KETAMINE NORTH
NPI 1316556020
Clinic/Center - Infusion Therapy in Duluth, MN

NPI Status: Active since July 28, 2020

Contact Information

1003 E CENTRAL ENTRANCE
DULUTH, MN
ZIP 55811
Phone: (218) 209-2150

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  • Organization
  • Clinic/Center
  • Infusion Therapy

About KETAMINE NORTH

This page provides the complete NPI Profile along with additional information for Ketamine North, a provider established in Duluth, Minnesota operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1316556020 assigned on July 2020. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Natalie Nicole Johnson Crna (Owner)

NPI
1316556020
Provider Name
KETAMINE NORTH
Entity Type
Organization
Location Address
1003 E CENTRAL ENTRANCE DULUTH, MN 55811
Location Phone
(218) 209-2150
Mailing Address
1003 E CENTRAL ENTRANCE DULUTH, MN 55811
Mailing Phone
(218) 209-2150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2020
Last Update Date
07-28-2020
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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 Infusion Therapy

Taxonomy Code
261QI0500X
Type
Ambulatory Health Care Facilities

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

NATALIE NICOLE JOHNSON CRNA

Authorized Official Title
OWNER
Authorized Official Phone
(507) 398-6313

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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.
1316556020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23261051204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 0 + 5 + 1 + 2 + 0 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1316556020 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174763528 NATALIE N JOHNSON APRN, CRNA, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1003 E CENTRAL ENTRANCE
DULUTH, MN 55811
(218) 209-2150
1760136964PSYCH NORTH PLLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1003 E CENTRAL ENTRANCE
DULUTH, MN 55811
(218) 209-2150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316556020, enumerated in the NPI registry as an "organization" on July 28, 2020

The provider is located at 1003 E Central Entrance Duluth, Mn 55811 and the phone number is (218) 209-2150

This medical organization specializes in Clinic/Center with taxonomy code 261QI0500X with a focus in Infusion Therapy

This NPI record was last updated on July 28, 2020. 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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