SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER
NPI 1093278764
Community Based Residential Treatment Facility, Mental Illness in Bemidji, MN

NPI Status: Active since April 10, 2019

Contact Information

3124 HANNAH AVE NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 333-2300
Fax: (218) 333-0317

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  • Organization
  • Community Based Residential Treatment Fa...
  • Accepts Insurance

About SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER

This page provides the complete NPI Profile along with additional information for Sanford Health Primewest Residential Support Center, a provider established in Bemidji, Minnesota operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1093278764 assigned on April 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Sanford Health Primewest Residential Support Center. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)

NPI
1093278764
Provider Legal Name
SANFORD HEALTH OF NORTHERN MINNESOTA
Other Organization Name
SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3124 HANNAH AVE NW BEMIDJI, MN 56601
Location Phone
(218) 333-2300
Location Fax
(218) 333-0317
Mailing Address
PO BOX 5074 SIOUX FALLS, SD 57117
Mailing Phone
(605) 328-6585
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-10-2019
Last Update Date
11-27-2023
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)
1251S00000XAgencies

Community/Behavioral Health

 
2276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

TONY LEE MORRISON

Authorized Official Title
VICE PRESIDENT, REVENUE CYCLE
Authorized Official Phone
(605) 328-8380

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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 1093278764, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 9 → 18 → 9 2 → 4 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 4 + 7 + 1 + 6 + 7 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093278764.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
3124 HANNAH AVE NW
BEMIDJI, MN 56601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093278764, enumerated as an "organization" on April 10, 2019.

The provider is located at 3124 HANNAH AVE NW BEMIDJI, MN 56601 and the phone number is (218) 333-2300.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.