RIVER BLUFFS HEALTH AND WELLNESS
NPI 1174268478
Clinic/Center - Mental Health (Including Community Mental Health Center) in La Crescent, MN

NPI Status: Active since May 02, 2022

Contact Information

205 N CHESTNUT ST STE 108
LA CRESCENT, MN
ZIP 55947
Phone: (507) 323-1200
Fax: (507) 323-1203

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About RIVER BLUFFS HEALTH AND WELLNESS

This page provides the complete NPI Profile along with additional information for River Bluffs Health And Wellness, a provider established in La Crescent, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1174268478 assigned on May 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. River Bluffs Health And Wellness operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as River Bluffs Health And Wellness. The authorized official of this NPI record is Mr. Derek J Dulek Mls(ascp)cm (Managing Member)

NPI
1174268478
Provider Legal Name
RIVER BLUFFS HEALTH AND WELLNESS PLLC
Other Organization Name
RIVER BLUFFS HEALTH AND WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 N CHESTNUT ST STE 108 LA CRESCENT, MN 55947
Location Phone
(507) 323-1200
Location Fax
(507) 323-1203
Mailing Address
205 N CHESTNUT ST STE 108 LA CRESCENT, MN 55947
Mailing Phone
(507) 323-1200
Mailing Fax
(507) 323-1203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2022
Last Update Date
04-30-2023
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
3363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

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:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*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

MR. DEREK J DULEK MLS(ASCP)CM

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(507) 323-1200

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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.
1174268478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211444616414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 6 + 1 + 6 + 4 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1174268478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

KRISTEN K. FOEHNER DNP, PMHNP-BC, APNP

Nurse Practitioner

(Psychiatric/Mental Health)

205 N CHESTNUT ST STE 108
LA CRESCENT, MN
ZIP 55947

(507) 323-1200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174268478, enumerated as an "organization" on May 02, 2022.

The provider is located at 205 N CHESTNUT ST STE 108 LA CRESCENT, MN 55947 and the phone number is (507) 323-1200.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.