ESSENTIA HEALTH - HOLY TRINITY HOSPITAL
NPI 1134188907
Medicare Defined Swing Bed Unit in Graceville, MN

NPI Status: Active since March 21, 2006

Contact Information

115 W 2ND ST
GRACEVILLE, MN
ZIP 56240
Phone: (320) 748-7223
Fax: (320) 748-7225

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Medicare Defined Swing Bed Unit
Accepts Insurance
CLIA Number: 24D0715456
CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
CLIA Exp. Date: 08-31-2026

About ESSENTIA HEALTH - HOLY TRINITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Essentia Health - Holy Trinity Hospital, a provider established in Graceville, Minnesota operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1134188907 assigned on March 2006. The practitioner's primary taxonomy code is 275N00000X with license number 330901 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Essentia Health - Holy Trinity Hospital. The authorized official of this NPI record is Alan Hurley (Coo)

NPI: 1134188907
Provider Legal Name: GRACEVILLE HEALTH CENTER
Other Organization Name: ESSENTIA HEALTH - HOLY TRINITY HOSPITAL
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 115 W 2ND ST GRACEVILLE, MN 56240
Location Phone: (320) 748-7223
Location Fax: (320) 748-7225
Mailing Address: PO BOX 157 115 W 2ND ST GRACEVILLE, MN 56240
Mailing Phone: (320) 748-7223
Mailing Fax: (320) 748-7225
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 03-21-2006
Last Update Date: 02-29-2024
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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: Medicare Defined Swing Bed Unit
Taxonomy Code: 275N00000X
Type: Hospital Units
License No.: 330901
License State: MN
Taxonomy Description: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

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

Sanford Health Plan

Sanford Individual Simplicity $1,750 - PPO
Sanford Individual Simplicity $3,500 - PPO
Sanford Individual Simplicity $4,750 - PPO
Sanford Individual Simplicity $6,000 - PPO
Sanford Individual Simplicity $7,100 HSA Qualified - PPO
Sanford Individual Simplicity $9,200 - PPO
Sanford Individual Simplicity Standardized $1,500 - PPO
Sanford Individual Simplicity Standardized $5,000 - PPO
Sanford Individual Simplicity Standardized $7,500 - PPO

Medicare

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

Medicaid

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: ALAN HURLEY
Authorized Official Title: COO
Authorized Official Phone: (701) 364-7667

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
854545600	MEDICAID (05)	MN

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: 24D0715456
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: September 01, 2024
Certificate Expiration Date: August 31, 2026
Laboratory Director: MICKINZIE NELSON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Essentia Health - Holy Trinity Hospital 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	3	4	1	8	8	9	0	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	6	4	2	8	16	9	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 8 + 1 + 6 + 9 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1134188907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.