WHITE EARTH HOMELESS PROGRAM
NPI 1366195133
Case Management in Mahnomen, MN
NPI Status: Active since February 01, 2022
Contact Information
2515 WORKFORCE CENTER ROAD
MAHNOMEN, MN
ZIP 56557
Phone: (218) 935-5554
- Organization
- Case Management
- CLIA Number: 24D2082111
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 08-06-2026
About WHITE EARTH HOMELESS PROGRAM
This page provides the complete NPI Profile along with additional information for White Earth Homeless Program, a provider established in Mahnomen, Minnesota operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1366195133 assigned on February 2022. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is White Earth Homeless Program. The authorized official of this NPI record is Patricia Ann Butler (Health Director)
- NPI
- 1366195133
- Provider Legal Name
- WHITE EARTH BAND OF CHIPPEWA
- Other Organization Name
- WHITE EARTH HOMELESS PROGRAM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2515 WORKFORCE CENTER ROAD MAHNOMEN, MN 56557
- Location Phone
- (218) 935-5554
- Mailing Address
- PO BOX 70 NAYTAHWAUSH, MN 56566
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-01-2022
- Last Update Date
- 03-01-2022
- Code Navigator
Location Map
Secondary Locations
- 520 E Adams Ave
Mahnomen, MN 56557
(218) 935-5554
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
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
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
- 24D2082111
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- August 07, 2024
- Certificate Expiration Date
- August 06, 2026
- Laboratory Director
- PATRICIA A. BUTLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to White Earth Homeless Program 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 | 3 | 6 | 6 | 1 | 9 | 5 | 1 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 2 | 9 | 10 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 2 + 9 + 1 + 0 + 1 + 6 + 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 = 3 | 3 | ||||||||
The NPI number 1366195133 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417316902 | WHITE EARTH BAND OF OJIBWE Organization | Community/Behavioral Health | 2515 WORKFORCE CENTER ROAD MAHNOMEN, MN 56557 (218) 936-2442 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366195133, enumerated in the NPI registry as an "organization" on February 01, 2022
The provider is located at 2515 Workforce Center Road Mahnomen, Mn 56557 and the phone number is (218) 935-5554
This medical organization specializes in Case Management with taxonomy code 251B00000X
The provider's CLIA number is 24D2082111 for a "end stage renal disease dialysis facility" 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 February 01, 2022. 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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