MINO BIMAADIZIWIN HEALTH CLINIC
NPI 1144809369
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Minneapolis, MN

NPI Status: Active since April 05, 2021

Contact Information

2115 CEDAR AVE S
MINNEAPOLIS, MN
ZIP 55404
Phone: (218) 679-1320

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  • Organization
  • Indian Health Service/Tribal/Urban India...
  • CLIA Number: 24D2140474
  • CLIA Cert. Type: Other - DRUG AND ALCOHOL TREATMEN
  • CLIA Exp. Date: 11-20-2025

About MINO BIMAADIZIWIN HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Mino Bimaadiziwin Health Clinic, a provider established in Minneapolis, Minnesota operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1144809369 assigned on April 2021. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Charlene Andersen (Revenue Generating Supervisor)

NPI
1144809369
Provider Name
MINO BIMAADIZIWIN HEALTH CLINIC
Entity Type
Organization
Location Address
2115 CEDAR AVE S MINNEAPOLIS, MN 55404
Location Phone
(218) 679-1320
Mailing Address
2115 CEDAR AVE S MINNEAPOLIS, MN 55404
Mailing Phone
(612) 436-0156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2021
Last Update Date
01-03-2022
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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

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Code
332800000X
Type
Suppliers
Taxonomy Description
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

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

CHARLENE ANDERSEN

Authorized Official Title
REVENUE GENERATING SUPERVISOR
Authorized Official Phone
(218) 679-1320

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
24D2140474
Facility Type
Other - DRUG AND ALCOHOL TREATMEN
Certificate Effective Date
November 21, 2023
Certificate Expiration Date
November 20, 2025
Laboratory Director
LISA M. HOLLINDAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mino Bimaadiziwin Health Clinic 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 1144809369, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
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 4 → 8 8 → 16 → 7 9 → 18 → 9 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 + 8 + 4 + 1 + 6 + 0 + 1 + 8 + 3 + 1 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1144809369.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2115 CEDAR AVE S
MINNEAPOLIS, MN 55404
Community Health Worker
2115 CEDAR AVE S
MINNEAPOLIS, MN 55404
Clinic/Center (Adolescent and Children Mental Health)
2115 CEDAR AVE S
MINNEAPOLIS, MN 55404
Community Health Worker
2115 CEDAR AVE S
MINNEAPOLIS, MN 55404
Community Health Worker
2115 CEDAR AVE S
MINNEAPOLIS, MN 55404
Nurse Practitioner (Psychiatric/Mental Health)
2115 CEDAR AVE S
MINNEAPOLIS, MN 55404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144809369, enumerated as an "organization" on April 05, 2021.

The provider is located at 2115 CEDAR AVE S MINNEAPOLIS, MN 55404 and the phone number is (218) 679-1320.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.