PARK NICOLLET- METHODIST HOSPITAL
NPI 1104136142
General Acute Care Hospital in St Louis Park, MN

NPI Status: Active since October 08, 2010

Contact Information

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 993-3123

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 24D0687292
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About PARK NICOLLET- METHODIST HOSPITAL

This page provides the complete NPI Profile along with additional information for Park Nicollet- Methodist Hospital, a provider established in St Louis Park, Minnesota operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1104136142 assigned on October 2010. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ted Spooner Md (Ct Surgery)

NPI
1104136142
Provider Name
PARK NICOLLET- METHODIST HOSPITAL
Entity Type
Organization
Location Address
6500 EXCELSIOR BLVD ST LOUIS PARK, MN 55426
Location Phone
(952) 993-3123
Mailing Address
1521 HIGHLAND PKWY SAINT PAUL, MN 55116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2010
Last Update Date
10-08-2010
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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

TED SPOONER MD

Authorized Official Title
CT SURGERY
Authorized Official Phone
(952) 993-3123

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
24D0687292
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. NATHAN E. LUECK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Park Nicollet- Methodist Hospital 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.

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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 1104136142, 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 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
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
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 1 → 2 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 3 + 1 + 2 + 1 + 8 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104136142.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Practitioner (Neonatal)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD, STE 2-260
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD, STE 839
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD, STE 839
ST LOUIS PARK, MN 55426
Radiology (Diagnostic Radiology)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Registered Nurse
6500 EXCELSIOR BLVD, STE 839
ST LOUIS PARK, MN 55426
Internal Medicine (Hospice and Palliative Medicine)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Radiology (Diagnostic Radiology)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Nurse Practitioner (Neonatal)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Pediatrics
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Radiology (Diagnostic Radiology)
6500 EXCELSIOR BLVD
MINNEAPOLIS, MN 55426
Family Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104136142, enumerated as an "organization" on October 08, 2010.

The provider is located at 6500 EXCELSIOR BLVD ST LOUIS PARK, MN 55426 and the phone number is (952) 993-3123.

General Acute Care Hospital with taxonomy code 282N00000X.