CLUB RECOVERY
NPI 1023032703
Clinic/Center - Rehabilitation, Substance Use Disorder in Edina, MN
NPI Status: Active since July 27, 2006
Contact Information
6550 YORK AVE S
SUITE 620
EDINA, MN
ZIP 55435
Phone: (952) 926-2526
Fax: (952) 926-6791
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
- CLIA Number: 24D2037418
- CLIA Cert. Type: Other - OUTPATIENT SUBSTANCE ABUS
- CLIA Exp. Date: 02-26-2028
About CLUB RECOVERY
This page provides the complete NPI Profile along with additional information for Club Recovery, a provider established in Edina, Minnesota operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1023032703 assigned on July 2006. The practitioner's primary taxonomy code is 261QR0405X with license number 10043993CDT (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Club Recovery. The authorized official of this NPI record is Mr. Orrin R. Tietz B.d. (Administrative Director)
- NPI
- 1023032703
- Provider Legal Name
- CLUB RECOVERY LLC
- Other Organization Name
- CLUB RECOVERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6550 YORK AVE S SUITE 620 EDINA, MN 55435
- Location Phone
- (952) 926-2526
- Location Fax
- (952) 926-6791
- Mailing Address
- 6550 YORK AVE S SUITE 620 EDINA, MN 55435
- Mailing Phone
- (952) 926-2526
- Mailing Fax
- (952) 926-6791
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 10043993CDT
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - 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.
*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 |
|---|---|---|---|
| 4D24CL | OTHER (01) | MN | BLUE CROSS BLUE SHIELD |
| 8448321 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 8448322 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 164215 | OTHER (01) | MN | UCARE OF MN |
| 8468358 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 8447177 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 8448323 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 97283 | OTHER (01) | MN | HEALTH PARTNERS |
| 8448324 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 8447176 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
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
- 24D2037418
- Facility Type
- Other - OUTPATIENT SUBSTANCE ABUS
- Certificate Effective Date
- February 27, 2026
- Certificate Expiration Date
- February 26, 2028
- Laboratory Director
- MARY EVERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Club Recovery 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 CLUB RECOVERY
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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 1023032703, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EDINA, MN 55435
EDINA, MN 55435
EDINA, MN 55435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023032703, enumerated as an "organization" on July 27, 2006.
The provider is located at 6550 YORK AVE S SUITE 620 EDINA, MN 55435 and the phone number is (952) 926-2526.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: HealthPartners, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to verify.
