CENTRACARE MEDICAL SUPPLY LLC
NPI 1003419268
Durable Medical Equipment & Medical Supplies in Willmar, MN
NPI Status: Active since November 19, 2020
Contact Information
1033 19TH AVE SW
WILLMAR, MN
ZIP 56201
Phone: (320) 235-8434
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 24D2284398
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 06-21-2027
About CENTRACARE MEDICAL SUPPLY LLC
This page provides the complete NPI Profile along with additional information for Centracare Medical Supply Llc, a provider established in Willmar, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1003419268 assigned on November 2020. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Michael A Blair (Sr Vp & Cfo)
- NPI
- 1003419268
- Provider Name
- CENTRACARE MEDICAL SUPPLY LLC
- Entity Type
- Organization
- Location Address
- 1033 19TH AVE SW WILLMAR, MN 56201
- Location Phone
- (320) 235-8434
- Mailing Address
- 1200 6TH AVE N SAINT CLOUD, MN 56303
- Mailing Phone
- (320) 251-2700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2020
- Last Update Date
- 11-19-2020
- 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
- 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.
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
- 24D2284398
- Facility Type
- Hospice
- Certificate Effective Date
- June 22, 2025
- Certificate Expiration Date
- June 21, 2027
- Laboratory Director
- AMY WENDINGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Centracare Medical Supply Llc 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003419268, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WILLMAR, MN 56201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003419268, enumerated as an "organization" on November 19, 2020.
The provider is located at 1033 19TH AVE SW WILLMAR, MN 56201 and the phone number is (320) 235-8434.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
