FOUNTAIN CENTERS
NPI 1942570791
Substance Abuse Rehabilitation Facility in Albert Lea, MN

NPI Status: Active since January 11, 2012

Contact Information

408 W FOUNTAIN ST
ALBERT LEA, MN
ZIP 56007
Phone: (507) 377-6411

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About FOUNTAIN CENTERS

This page provides the complete NPI Profile along with additional information for Fountain Centers, a provider established in Albert Lea, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1942570791 assigned on January 2012. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Fountain Centers. The authorized official of this NPI record is Praveen Mekala (Chief Financial Officer)

NPI
1942570791
Provider Legal Name
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Other Organization Name
FOUNTAIN CENTERS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
408 W FOUNTAIN ST ALBERT LEA, MN 56007
Location Phone
(507) 377-6411
Mailing Address
408 W FOUNTAIN ST ALBERT LEA, MN 56007
Mailing Phone
(507) 377-6411
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-11-2012
Last Update Date
03-23-2021
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062254 (MN)
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062243 (MN)
3324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062245 (MN)
4324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062247 (MN)
5324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062242 (MN)
6324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062244 (MN)
7324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062246 (MN)
8324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1065057-2-CDT (MN)
9324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062252 (MN)
10324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1062248 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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.

*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

PRAVEEN MEKALA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(507) 594-6449

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
416545500MEDICAID (05)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.
1942570791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29821070718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 0 + 7 + 0 + 7 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1942570791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720514706 TAYLOR STONE LADC
Individual
Counselor (Addiction (Substance Use Disorder))408 W FOUNTAIN ST
ALBERT LEA, MN 56007
(507) 377-6411
1699201673 MELISSA TINDAL LADC
Individual
Counselor (Addiction (Substance Use Disorder))408 W FOUNTAIN ST
ALBERT LEA, MN 56007
(507) 377-6411
1538695515 ERICA HAUGH LADC
Individual
Counselor (Addiction (Substance Use Disorder))408 W FOUNTAIN ST
ALBERT LEA, MN 56007
(507) 377-6411
1982130852MS. DAWN MARIE SCHULL L.A.D.C
Individual
Counselor (Addiction (Substance Use Disorder))408 W FOUNTAIN ST
ALBERT LEA, MN 56007
(507) 377-6411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942570791, enumerated in the NPI registry as an "organization" on January 11, 2012

The provider is located at 408 W Fountain St Albert Lea, Mn 56007 and the phone number is (507) 377-6411

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Sanford Health Plan, 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 January 11, 2012. 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.