STELLIS HEALTH - MONTICELLO CLINIC
NPI 1013103050
Clinic/Center - Multi-Specialty in Monticello, MN

NPI Status: Active since September 24, 2007

Contact Information

1001 HART BLVD STE 100
MONTICELLO, MN
ZIP 55362
Phone: (763) 295-2921
Fax: (763) 271-3810

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty
CLIA Number: 24D0400657
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 12-22-2027

About STELLIS HEALTH - MONTICELLO CLINIC

This page provides the complete NPI Profile along with additional information for Stellis Health - Monticello Clinic, a provider established in Monticello, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1013103050 assigned on September 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Stellis Health - Monticello Clinic. The authorized official of this NPI record is Jason S Halvorson Md (President)

NPI: 1013103050
Provider Legal Name: STELLIS HEALTH, PA
Other Organization Name: STELLIS HEALTH - MONTICELLO CLINIC
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 1001 HART BLVD STE 100 MONTICELLO, MN 55362
Location Phone: (763) 295-2921
Location Fax: (763) 271-3810
Mailing Address: 1001 HART BLVD STE 100 MONTICELLO, MN 55362
Mailing Phone: (763) 295-2921
Mailing Fax: (763) 271-3810
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-24-2007
Last Update Date: 08-12-2016
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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: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

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: JASON S HALVORSON MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (763) 295-2921

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: 24D0400657
Facility Type: Physician Office
Certificate Effective Date: December 23, 2025
Certificate Expiration Date: December 22, 2027
Laboratory Director: TERESA WROBBEL
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Stellis Health - Monticello 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.

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 1013103050, we treat the final digit (0) 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 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).

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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 1 → 2 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 2 + 0 + 6 + 0 + 1 + 0 + 24 = 40

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 40 is 40. The difference is the calculated check digit.

40 - 40 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1013103050.