CLAY COUNTY PUBLIC HEALTH
NPI 1114142569
Registered Nurse - Community Health in Moorhead, MN

NPI Status: Active since April 13, 2007

Contact Information

715 11TH ST N
STE 303
MOORHEAD, MN
ZIP 56560
Phone: (218) 299-7301
Fax: (218) 299-5795

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  • Organization
  • Registered Nurse
  • Community Health
  • Accepts Insurance
  • CLIA Number: 24D2221677
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 04-22-2027

About CLAY COUNTY PUBLIC HEALTH

This page provides the complete NPI Profile along with additional information for Clay County Public Health, a provider established in Moorhead, Minnesota operating as a Registered Nurse, focusing in community health . The healthcare provider is registered in the NPI registry with number 1114142569 assigned on April 2007. The practitioner's primary taxonomy code is 163WC1500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Clay County Public Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Clay County Public Health. The authorized official of this NPI record is Lori J Johnson (Clay County Auditor)

NPI
1114142569
Provider Legal Name
CLAY COUNTY
Other Organization Name
CLAY COUNTY PUBLIC HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
715 11TH ST N STE 303 MOORHEAD, MN 56560
Location Phone
(218) 299-7301
Location Fax
(218) 299-5795
Mailing Address
715 11TH ST N STE 303 MOORHEAD, MN 56560
Mailing Phone
(218) 299-7301
Mailing Fax
(218) 299-5795
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
01-03-2020
Code Navigator

A registered nurse (RN) like Clay County Public Health coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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

Registered Nurse Community Health

Taxonomy Code
163WC1500X
Type
Nursing Service Providers

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)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

LORI J JOHNSON

Authorized Official Title
CLAY COUNTY AUDITOR
Authorized Official Phone
(218) 299-5262

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
427753800MEDICAID (05)MN 
8300104OTHER (01)MNMEDICA PMAP PROVIDER
5060753OTHER (01)MNMEDICA UBH PROVIDER
8G510CLOTHER (01)MNBLUE PLUS PROVIDER ID
4C45CLOTHER (01)MNBLUE PLUS DETOX PROVIDER

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 22 times for 22 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 18 times for 18 patients

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
24D2221677
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
April 23, 2025
Certificate Expiration Date
April 22, 2027
Laboratory Director
SAMANTHA HOPPE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clay County Public Health 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.

Reviews for CLAY COUNTY PUBLIC HEALTH

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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 1114142569, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 1 → 2 1 → 2 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 4 + 4 + 5 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1114142569.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Case Management
715 11TH ST N
MOORHEAD, MN 56560
Counselor (Addiction (Substance Use Disorder))
715 11TH ST N, SUITE 204
MOORHEAD, MN 56560
Marriage & Family Therapist
715 11TH ST N, STE 401
MOORHEAD, MN 56560
Clinic/Center (Dental)
715 11TH ST N, SUITE 106B
MOORHEAD, MN 56560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114142569, enumerated as an "organization" on April 13, 2007.

The provider is located at 715 11TH ST N STE 303 MOORHEAD, MN 56560 and the phone number is (218) 299-7301.

Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.