WILLIAMS INTEGRACARE CLINIC
NPI 1770646937
Family Medicine in Sartell, MN
NPI Status: Active since December 19, 2006
Contact Information
100 2ND ST S
SARTELL, MN
ZIP 56377
Phone: (320) 251-2600
Fax: (320) 251-4763
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 24D0990984
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-31-2027
About WILLIAMS INTEGRACARE CLINIC
This page provides the complete NPI Profile along with additional information for Williams Integracare Clinic, a primary care provider established in Sartell, Minnesota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1770646937 assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Williams Integracare Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Williams Integracare Clinic. The authorized official of this NPI record is Mr. Mark Randy Halstrom Md (Medical Director Medical Doctor)
- NPI
- 1770646937
- Provider Legal Name
- INTEGRACARE LTD
- Other Organization Name
- WILLIAMS INTEGRACARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 2ND ST S SARTELL, MN 56377
- Location Phone
- (320) 251-2600
- Location Fax
- (320) 251-4763
- Mailing Address
- 100 2ND ST S PO BOX 296 SARTELL, MN 56377
- Mailing Phone
- (320) 251-2600
- Mailing Fax
- (320) 251-4763
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 08-29-2023
- Code Navigator
A primary care provider (PCP) like Williams Integracare Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
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.
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 |
|---|---|---|---|
| CH337 | OTHER (01) | MN | RAILROAD MEDICARE |
| 079858400 | MEDICAID (05) | MN | |
| 31T18IN | OTHER (01) | MN | BCBS |
| 70633 | OTHER (01) | MN | HEALTH PARTNERS |
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
- 24D0990984
- Facility Type
- Physician Office
- Certificate Effective Date
- February 01, 2025
- Certificate Expiration Date
- January 31, 2027
- Laboratory Director
- JUNELL M. PETERSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Williams Integracare Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WILLIAMS INTEGRACARE 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 | 7 | 0 | 6 | 4 | 6 | 9 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 12 | 4 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 2 + 4 + 1 + 2 + 9 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1770646937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972500635 | MISS MELISSA ANN MORTENSEN MPT Individual | Physical Therapist | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1043217706 | MR. MICHAEL JUDE MILBAUER DC Individual | Chiropractor | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1982601647 | MR. MARK RANDY HALSTROM MD Individual | Family Medicine | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1235136995 | MR. RYAN JAMES GRANROTH DC Individual | Chiropractor | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1326161845 | DOMINIC C TURNER P.T. Individual | Contractor | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1457452666 | DR. MATTHEW G. ROSSITER D.C. Individual | Chiropractor | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1609291889 | DR. TYLER EARL HUBERTY D.C. Individual | Chiropractor | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1790233922 | ERIC MICHAEL GREENE NP Individual | Nurse Practitioner (Family) | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1568755767 | MR. JONATHAN VERLIN SCHEER FNP Individual | Nurse Practitioner (Family) | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1447212345 | CHRISTINE DIEDERICH NP Individual | Nurse Practitioner (Family) | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1487210258 | KATE PATRICIA FOLEY APRN,CNP Individual | Nurse Practitioner | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1720632086 | MRS. CHRISTI ELIZABETH ALVORD NP Individual | Nurse Practitioner | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1396968806 | SHANA MARIE NELSON CNP, RN Individual | Nurse Practitioner (Family) | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1316667884 | KELSEY FAYE HITEN NP Individual | Nurse Practitioner | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1346948981 | MARY PESCH NP Individual | Nurse Practitioner (Family) | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
| 1417468703 | JENNIFER LEE GARDING PT, DPT Individual | Physical Therapist | 100 2ND ST S SARTELL, MN 56377 (320) 251-2600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770646937, enumerated in the NPI registry as an "organization" on December 19, 2006
The provider is located at 100 2nd St S Sartell, Mn 56377 and the phone number is (320) 251-2600
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D0990984 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 19, 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].
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