CLEAR WATERS LIFE CENTER
NPI 1073943304
Clinic/Center - Adult Day Care in Clearbrook, MN

NPI Status: Active since November 22, 2013

Contact Information

256 2ND AVE SW
CLEARBROOK, MN
ZIP 56634
Phone: (218) 776-2789
Fax: (218) 776-2786

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  • Organization
  • Clinic/Center
  • Adult Day Care

About CLEAR WATERS LIFE CENTER

This page provides the complete NPI Profile along with additional information for Clear Waters Life Center, a provider established in Clearbrook, Minnesota operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1073943304 assigned on November 2013. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Rebecca Susan Dorman (Administrative Executive Director)

NPI
1073943304
Provider Name
CLEAR WATERS LIFE CENTER
Entity Type
Organization
Location Address
256 2ND AVE SW CLEARBROOK, MN 56634
Location Phone
(218) 776-2789
Location Fax
(218) 776-2786
Mailing Address
256 2ND AVE SW BOX 155 CLEARBROOK, MN 56634
Mailing Phone
(218) 776-2789
Mailing Fax
(218) 776-2786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2013
Last Update Date
11-22-2013
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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 Adult Day Care

Taxonomy Code
261QA0600X
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

MRS. REBECCA SUSAN DORMAN

Authorized Official Title
ADMINISTRATIVE EXECUTIVE DIRECTOR
Authorized Official Phone
(218) 776-2789

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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 1073943304, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 7 → 14 → 5 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 8 + 4 + 6 + 3 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1073943304.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073943304, enumerated as an "organization" on November 22, 2013.

The provider is located at 256 2ND AVE SW CLEARBROOK, MN 56634 and the phone number is (218) 776-2789.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.