RENEWED WELLNESS AND KETAMINE CLINIC
NPI 1518556075
Clinic/Center in Fargo, ND

NPI Status: Active since January 11, 2021

Contact Information

3441 45TH ST S
FARGO, ND
ZIP 58104
Phone: (701) 526-6960

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  • Organization
  • Clinic/Center

About RENEWED WELLNESS AND KETAMINE CLINIC

This page provides the complete NPI Profile along with additional information for Renewed Wellness And Ketamine Clinic, a provider established in Fargo, North Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1518556075 assigned on January 2021. The practitioner's primary taxonomy code is 261Q00000X. 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 Sadie Becher Ms, Aprn-crna (Member/owner)

NPI
1518556075
Provider Name
RENEWED WELLNESS AND KETAMINE CLINIC
Entity Type
Organization
Location Address
3441 45TH ST S FARGO, ND 58104
Location Phone
(701) 526-6960
Mailing Address
3441 45TH ST S FARGO, ND 58104
Mailing Phone
(701) 526-6960
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2021
Last Update Date
01-11-2021
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

SADIE BECHER MS, APRN-CRNA

Authorized Official Title
MEMBER/OWNER
Authorized Official Phone
(701) 866-6041

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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.
1518556075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252810512014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 0 + 5 + 1 + 2 + 0 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1518556075 is valid because the calculated check digit 5 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
1487255295MYOFASCIAL RELEASE BY KATIE
Organization
Physical Therapist3441 45TH ST S
FARGO, ND 58104
(701) 660-5104
1417406711DR. TONYA LEE LOKEN ND, FNP-C
Individual
Nurse Practitioner (Family)3441 45TH ST S
FARGO, ND 58104
(017) 552-6573

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518556075, enumerated in the NPI registry as an "organization" on January 11, 2021

The provider is located at 3441 45th St S Fargo, Nd 58104 and the phone number is (701) 526-6960

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on January 11, 2021. 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.