NAYTAHWAUSH HEALTH STATION
NPI 1427263706
Durable Medical Equipment & Medical Supplies in Naytahwaush, MN

NPI Status: Active since May 11, 2007

Contact Information

NAYTAHWAUSH HEALTH STATION 238 CHURCH STREET
NAYTAHWAUSH, MN
ZIP 56566
Phone: (218) 935-2238
Fax: (218) 935-5085

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 24D0669265
  • CLIA Cert. Type: Other - DHHS - INDIAN HEALTH SVCS
  • CLIA Exp. Date: 10-21-2026

About NAYTAHWAUSH HEALTH STATION

This page provides the complete NPI Profile along with additional information for Naytahwaush Health Station, a provider established in Naytahwaush, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1427263706 assigned on May 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Naytahwaush Health Station. The authorized official of this NPI record is Fred C Koebrick (Chief Executive Officer (ceo))

NPI
1427263706
Provider Legal Name
WHITE EARTH HEALTH CENTER
Other Organization Name
NAYTAHWAUSH HEALTH STATION
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
NAYTAHWAUSH HEALTH STATION 238 CHURCH STREET NAYTAHWAUSH, MN 56566
Location Phone
(218) 935-2238
Location Fax
(218) 935-5085
Mailing Address
40520 COUNTY HIGHWAY 34 OGEMA, MN 56569
Mailing Phone
(218) 983-4300
Mailing Fax
(218) 935-5085
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-11-2007
Last Update Date
11-30-2009
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

FRED C KOEBRICK

Authorized Official Title
CHIEF EXECUTIVE OFFICER (CEO)
Authorized Official Phone
(218) 983-6214

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
5511210002OTHER (01)MNDMEPOS SUPPLIER NUMBER
246753400MEDICAID (05)MN 
HSZ053MEDICARE ID-TYPE UNSPECIFIED (04)MNMEDICARE PART B NUMBER

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
24D0669265
Facility Type
Other - DHHS - INDIAN HEALTH SVCS
Certificate Effective Date
October 22, 2024
Certificate Expiration Date
October 21, 2026
Laboratory Director
MR. MELISSA J. FALLON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Naytahwaush Health Station on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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.
1427263706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244746670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 6 + 6 + 7 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1427263706 is valid because the calculated check digit 6 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 1427263706, enumerated in the NPI registry as an "organization" on May 11, 2007

The provider is located at Naytahwaush Health Station 238 Church Street Naytahwaush, Mn 56566 and the phone number is (218) 935-2238

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

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.

The provider's CLIA number is 24D0669265 for a "other - dhhs - indian health svcs" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 11, 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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