TRI-VALLEY OPPORTUNITY COUNCIL
NPI 1104098672
Public Health or Welfare in Crookston, MN

NPI Status: Active since March 25, 2008

Contact Information

102 N BROADWAY
CROOKSTON, MN
ZIP 56716
Phone: (218) 281-5832
Fax: (218) 281-6676

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 24D0893639
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-25-2026

About TRI-VALLEY OPPORTUNITY COUNCIL

This page provides the complete NPI Profile along with additional information for Tri-valley Opportunity Council, a provider established in Crookston, Minnesota operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1104098672 assigned on March 2008. The practitioner's primary taxonomy code is 251K00000X with license number R137745-7 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Cynthia E Boudreaux Rn (Health Services Manager)

NPI
1104098672
Provider Name
TRI-VALLEY OPPORTUNITY COUNCIL
Entity Type
Organization
Location Address
102 N BROADWAY CROOKSTON, MN 56716
Location Phone
(218) 281-5832
Location Fax
(218) 281-6676
Mailing Address
PO BOX 607 CROOKSTON, MN 56716
Mailing Phone
(218) 281-5832
Mailing Fax
(218) 281-6676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2008
Last Update Date
03-25-2008
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
R137745-7
License State
MN

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

CYNTHIA E BOUDREAUX RN

Authorized Official Title
HEALTH SERVICES MANAGER
Authorized Official Phone
(218) 281-5832

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
24D0893639
Facility Type
Other
Certificate Effective Date
October 26, 2024
Certificate Expiration Date
October 25, 2026
Laboratory Director
MELODY HEDDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri-valley Opportunity Council 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.

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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 1104098672, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 0 → 0 0 → 0 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 9 + 1 + 6 + 6 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104098672.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104098672, enumerated as an "organization" on March 25, 2008.

The provider is located at 102 N BROADWAY CROOKSTON, MN 56716 and the phone number is (218) 281-5832.

Public Health or Welfare with taxonomy code 251K00000X.