STATE OF MINNESOTA
NPI 1639355902
Psychiatric Residential Treatment Facility in Moose Lake, MN
NPI Status: Active since January 16, 2008
Contact Information
1111 HIGHWAY 73
MOOSE LAKE, MN
ZIP 55767
Phone: (218) 485-5300
- Organization
- Psychiatric Residential Treatment Facili...
About STATE OF MINNESOTA
This page provides the complete NPI Profile along with additional information for State Of Minnesota, a provider established in Moose Lake, Minnesota operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1639355902 assigned on January 2008. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Bruce J Hawkinson (State Program Admin Director)
- NPI
- 1639355902
- Provider Name
- STATE OF MINNESOTA
- Entity Type
- Organization
- Location Address
- 1111 HIGHWAY 73 MOOSE LAKE, MN 55767
- Location Phone
- (218) 485-5300
- Mailing Address
- 400 CENTENNIAL BUILDING 658 CEDAR STREET SAINT PAUL, MN 55155
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2008
- Last Update Date
- 01-16-2008
- Code Navigator
Location Map
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
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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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 | 6 | 3 | 9 | 3 | 5 | 5 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 5 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 5 + 1 + 0 + 9 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1639355902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730354549 | MINNESOTA SEX OFFENDER PROGRAM Organization | Psychiatric Residential Treatment Facility | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 485-5300 |
| 1518287481 | JONATHAN FRANKLIN KLINGAMAN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 565-6200 |
| 1811168511 | KERI ANN OVSAK RN, MA, FNP-BC Individual | Nurse Practitioner (Family) | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 565-6200 |
| 1922540368 | BRUCE A. BEAMAN LMFT Individual | Marriage & Family Therapist | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 565-6055 |
| 1386186708 | DEBBIE DAVIS LPCC Individual | Counselor (Professional) | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 565-6281 |
| 1023095874 | MR. JOHN SUTHERLAND BARRY M.D. Individual | Internal Medicine | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 565-6283 |
| 1386168573 | TANYA EIFFLER DNP, APRN, FNP-C Individual | Nurse Practitioner (Family) | 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 (218) 565-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639355902, enumerated in the NPI registry as an "organization" on January 16, 2008
The provider is located at 1111 Highway 73 Moose Lake, Mn 55767 and the phone number is (218) 485-5300
This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X
This NPI record was last updated on January 16, 2008. 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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