INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
NPI 1013056969
Clinic/Center - Pain in Sartell, MN
NPI Status: Active since February 06, 2007
Contact Information
2301 CONNECTICUT AVENUE SOUTH
SARTELL, MN
ZIP 56377
Phone: (320) 229-1500
Fax: (320) 229-1505
- Organization
- Clinic/Center
- Pain
- Accepts Insurance
About INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
This page provides the complete NPI Profile along with additional information for Interventional Pain & Physical Medicine Clinic, a provider established in Sartell, Minnesota operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1013056969 assigned on February 2007. The practitioner's primary taxonomy code is 261QP3300X with license number 41961 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Stacy Kowalkowski R.n. (Administrator)
- NPI
- 1013056969
- Provider Name
- INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
- Entity Type
- Organization
- Location Address
- 2301 CONNECTICUT AVENUE SOUTH SARTELL, MN 56377
- Location Phone
- (320) 229-1500
- Location Fax
- (320) 229-1505
- Mailing Address
- 2301 CONNECTICUT AVENUE SOUTH SARTELL, MN 56377
- Mailing Phone
- (320) 229-1500
- Mailing Fax
- (320) 229-1505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 07-14-2015
- 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
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 41961
- License State
- MN
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 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 41961 (MN) |
| 2 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | 41961 (MN) |
| 3 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | 41961 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
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 |
|---|---|---|---|
| H31283 | MEDICARE UPIN (02) | MN | |
| 410645800 | MEDICAID (05) | MN | |
| C03449 | OTHER (01) | MN | MEDICARE PTAN |
| 090000014 | MEDICARE PIN (08) | MN |
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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 1013056969, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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 51 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.
SARTELL, MN 56377
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013056969, enumerated as an "organization" on February 06, 2007.
The provider is located at 2301 CONNECTICUT AVENUE SOUTH SARTELL, MN 56377 and the phone number is (320) 229-1500.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
