CENTRACARE KIDNEY PROGRAM - LITCHFIELD
NPI 1033391099
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Litchfield, MN
NPI Status: Active since December 03, 2007
Contact Information
520 HWY 12 EAST
SUITE 6
LITCHFIELD, MN
ZIP 55355
Phone: (320) 240-7808
Fax: (320) 240-7840
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 24D0651612
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About CENTRACARE KIDNEY PROGRAM - LITCHFIELD
This page provides the complete NPI Profile along with additional information for Centracare Kidney Program - Litchfield, a provider established in Litchfield, Minnesota operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1033391099 assigned on December 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Centracare Kidney Program - Litchfield. The authorized official of this NPI record is Mr. Michael A. Blair (Sr. Vice President And Cfo)
- NPI
- 1033391099
- Provider Legal Name
- ST. CLOUD HOSPITAL
- Other Organization Name
- CENTRACARE KIDNEY PROGRAM - LITCHFIELD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 520 HWY 12 EAST SUITE 6 LITCHFIELD, MN 55355
- Location Phone
- (320) 240-7808
- Location Fax
- (320) 240-7840
- Mailing Address
- 1406 6TH AVE N SAINT CLOUD, MN 56303
- Mailing Phone
- (320) 240-7808
- Mailing Fax
- (320) 240-7840
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-03-2007
- Last Update Date
- 10-10-2019
- 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 End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
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
- 24D0651612
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- MICHELLE KURT-MANGOLD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Centracare Kidney Program - Litchfield 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.
Reviews for CENTRACARE KIDNEY PROGRAM - LITCHFIELD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1033391099, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033391099, enumerated as an "organization" on December 03, 2007.
The provider is located at 520 HWY 12 EAST SUITE 6 LITCHFIELD, MN 55355 and the phone number is (320) 240-7808.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
