BLAINE CLINIC - DME
NPI 1497847644
Durable Medical Equipment & Medical Supplies in Blaine, MN

NPI Status: Active since September 28, 2006

Contact Information

10961 CLUB WEST PKWY
BLAINE, MN
ZIP 55449
Phone: (763) 572-5710
Fax: (763) 528-2945

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About BLAINE CLINIC - DME

This page provides the complete NPI Profile along with additional information for Blaine Clinic - Dme, a provider established in Blaine, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1497847644 assigned on September 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Blaine Clinic - Dme. The authorized official of this NPI record is Joen V Condon (Chief Financial Officer)

NPI
1497847644
Provider Legal Name
COLUMBIA PARK MEDICAL GROUP, PA
Other Organization Name
BLAINE CLINIC - DME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10961 CLUB WEST PKWY BLAINE, MN 55449
Location Phone
(763) 572-5710
Location Fax
(763) 528-2945
Mailing Address
6401 UNIVERSITY AVE NE FRIDLEY, MN 55432
Mailing Phone
(763) 572-5710
Mailing Fax
(763) 528-2945
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-28-2006
Last Update Date
11-13-2007
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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
License State
MN
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

JOEN V CONDON

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(763) 586-5839

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
0463570006MEDICARE NSC (07)MN 

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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.
1497847644
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871641468
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 4 + 1 + 4 + 6 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1497847644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659380954DR. JENNIFER JUNE OLSON M.D.
Individual
Pediatrics10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5710
1386749851COLUMBIA PARK MEDICAL GROUP, PA
Organization
Clinic/Center (Multi-Specialty)10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5710
1669572061 ANTHONY JOSEPH VERTALINO P.T.
Individual
Physical Therapist10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5710
1912332271TEC LLC
Organization
Eyewear Supplier10961 CLUB WEST PKWY SUITE 130
BLAINE, MN 55449
(763) 571-7550
1447205810 MARY BHAVSAR M.D.
Individual
Ophthalmology10961 CLUB WEST PKWY SUITE 130
BLAINE, MN 55449
(763) 571-7550
1366855629DR. CHARLES JOSEPH KOPP OD
Individual
Optometrist10961 CLUB WEST PKWY SUITE 130
BLAINE, MN 55449
(763) 571-7550
1740683192 ANN STUDNISKI
Individual
Specialist/Technologist (Athletic Trainer)10961 CLUB WEST PKWY SUITE 200
BLAINE, MN 55449
(612) 845-0928
1528466372 CARISSA FLEEK
Individual
Specialist/Technologist (Athletic Trainer)10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 506-8440
1770717639 CAROLINE BARUSYA M.D
Individual
Family Medicine10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5700
1679673073 BRUCE GEORGE DAHLMAN P.T.
Individual
Physical Therapist10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5710
1114210036 JOSEPH MILES PALMQUIST JOE PALMQUIST
Individual
Physician Assistant (Medical)10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5700
1437774957 BRIAN J HELMRICK ATC
Individual
Specialist/Technologist (Athletic Trainer)10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 528-6408
1699829697GROUP HEALTH PLAN INC
Organization
Dentist (General Practice)10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 780-1292
1417277294FAIRVIEW EXPRESS CARE
Organization
Clinic/Center (Multi-Specialty)10961 CLUB WEST PKWY STE 200
BLAINE, MN 55449
(763) 528-2992
1538659198 OLABISI F ABOKEDE-RAHAMAN TRAINING CERT MD
Individual
Family Medicine10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5700
1619607348 ELEANOR MONSON PT, DPT
Individual
Physical Therapist (Orthopedic)10961 CLUB WEST PKWY
BLAINE, MN 55449
(855) 324-7843
1770213209 BETHANY KOZAK
Individual
Physical Therapist10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 528-2992
1831456953MR. JONATHAN RAPHAEL SNITZER MD
Individual
Pain Medicine (Interventional Pain Medicine)10961 CLUB WEST PKWY
BLAINE, MN 55449
(612) 273-5400
1972784205FAIRVIEW CLINICS
Organization
Clinic/Center (Multi-Specialty)10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 572-5700
1467776682FAIRVIEW PHARMACY SERVICES LLC
Organization
Pharmacy10961 CLUB WEST PKWY
BLAINE, MN 55449
(763) 528-2975

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497847644, enumerated in the NPI registry as an "organization" on September 28, 2006

The provider is located at 10961 Club West Pkwy Blaine, Mn 55449 and the phone number is (763) 572-5710

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.

This NPI record was last updated on September 28, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.