RIVERWAY - ANDOVER CLINIC
NPI 1730240649
Durable Medical Equipment & Medical Supplies in Andover, MN
NPI Status: Active since December 13, 2006
Contact Information
15245 BLUEBIRD ST NW
SUITE A
ANDOVER, MN
ZIP 55304
Phone: (763) 587-4600
Fax: (763) 587-4615
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 24D0941889
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-11-2026
About RIVERWAY - ANDOVER CLINIC
This page provides the complete NPI Profile along with additional information for Riverway - Andover Clinic, a provider established in Andover, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1730240649 assigned on December 2006. The practitioner's primary taxonomy code is 332B00000X with license number 8600490 (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Riverway - Andover Clinic. The authorized official of this NPI record is Lisa Bjorkman (Director)
- NPI
- 1730240649
- Provider Legal Name
- GROUP HEALTH PLAN INC
- Other Organization Name
- RIVERWAY - ANDOVER CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 15245 BLUEBIRD ST NW SUITE A ANDOVER, MN 55304
- Location Phone
- (763) 587-4600
- Location Fax
- (763) 587-4615
- Mailing Address
- 8170 33RD AVE S MAIL STOP 21110Q BLOOMINGTON, MN 55425
- Mailing Phone
- (952) 883-7469
- Mailing Fax
- (763) 587-4615
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 06-02-2020
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 8600490
- 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.
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 |
|---|---|---|---|
| 650006400 | MEDICAID (05) | MN |
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
- 24D0941889
- Facility Type
- Physician Office
- Certificate Effective Date
- May 12, 2024
- Certificate Expiration Date
- May 11, 2026
- Laboratory Director
- DR. ROSEN DIMITROV
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Riverway - Andover Clinic 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.
Reviews for RIVERWAY - ANDOVER CLINIC
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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 | 7 | 3 | 0 | 2 | 4 | 0 | 6 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 4 | 4 | 0 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 4 + 4 + 0 + 6 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1730240649 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1396720553 | SCOTT M BENSON II RPH Individual | Pharmacist | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 434-1901 |
| 1700072451 | DR. NANCY MOE TRACY PHARM.D. Individual | Pharmacist | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 434-1901 |
| 1659522332 | ANNETTE MARIE SCHMIDT PHARMD Individual | Pharmacist | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 434-1901 |
| 1043284268 | ROMAN P SMULKA MD Individual | Family Medicine | 15245 BLUEBIRD ST NW MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER ANDOVER, MN 55304 (763) 587-4600 |
| 1184698052 | HELEN C KNUTSON PNP Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW MAIL STOP 39200A ANDOVER, MN 55304 (763) 712-6000 |
| 1912971706 | PAUL J LYSNE MD Individual | Family Medicine | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4600 |
| 1316911530 | JOHN W GFRERER MD Individual | Family Medicine | 15245 BLUEBIRD ST NW MAIL STOP 39200A ANDOVER, MN 55304 (763) 712-6000 |
| 1558336198 | REBECCA BRANDT PA C Individual | Physician Assistant | 15245 BLUEBIRD ST NW MAIL STOP 39300A ANDOVER, MN 55304 (763) 587-4600 |
| 1073590881 | BARBARA SCHIEFEN Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE ANDOVER, MN 55304 (952) 853-8800 |
| 1831366079 | DR. CLAIRE A MICHAEL SAAD M.D. Individual | Family Medicine | 15245 BLUEBIRD ST NW RIVERWAY CLINIC-ANDOVER ANDOVER, MN 55304 (763) 587-4600 |
| 1003368929 | DIVINA FAMA BIKERI CNP Individual | Nurse Practitioner (Family) | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4688 |
| 1376775437 | DR. LISA ANN BISHOP MBCHB Individual | Pediatrics (Adolescent Medicine) | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4600 |
| 1972702090 | MISS MOLLI ROSE JANNETTE PHARM.D. Individual | Pharmacist | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 434-1901 |
| 1750412235 | LAURA MAGNUSON FNP Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4688 |
| 1427367093 | MR. ZACHARIA G OGWANG FNP Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4600 |
| 1528033149 | SHERRY M MARINELLO PA Individual | Physician Assistant | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4600 |
| 1205333275 | DAVID BRYAN POLLEY NP Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4688 |
| 1598382061 | SHELLY RENEE ANDERSON APRN Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4688 |
| 1164964334 | CHANDRAWATIE KHEMRAJ APRN Individual | Nurse Practitioner | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4688 |
| 1992336291 | BROOKE MARIE GALL Individual | Physician Assistant | 15245 BLUEBIRD ST NW ANDOVER, MN 55304 (763) 587-4688 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730240649, enumerated in the NPI registry as an "organization" on December 13, 2006
The provider is located at 15245 Bluebird St Nw Suite A Andover, Mn 55304 and the phone number is (763) 587-4600
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 24D0941889 for a "physician office" 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 December 13, 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.