ESSENTIA HEALTH GRAND RAPIDS CLINIC
NPI 1184132664
Clinic/Center - Multi-Specialty in Grand Rapids, MN

NPI Status: Active since January 18, 2018

Contact Information

1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 999-7000

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ESSENTIA HEALTH GRAND RAPIDS CLINIC

This page provides the complete NPI Profile along with additional information for Essentia Health Grand Rapids Clinic, a provider established in Grand Rapids, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1184132664 assigned on January 2018. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Essentia Health Grand Rapids Clinic. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)

NPI
1184132664
Provider Legal Name
THE DULUTH CLINIC LTD
Other Organization Name
ESSENTIA HEALTH GRAND RAPIDS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1542 GOLF COURSE RD STE 204 GRAND RAPIDS, MN 55744
Location Phone
(218) 999-7000
Mailing Address
1542 GOLF COURSE RD STE 204 GRAND RAPIDS, MN 55744
Mailing Phone
(218) 999-7000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-18-2018
Last Update Date
02-28-2024
Code Navigator



Essentia Health Grand Rapids Clinic is a medicare supplier with PTAN 20347001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - EPO
  • Select $6,000 - 40% - EPO
  • Select $7,500 - EPO
  • Select $7,500 HDHP - EPO
  • Select $9,500 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO

*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

KEVIN BOREN

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(218) 786-1009

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20347001
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Reviews for ESSENTIA HEALTH GRAND RAPIDS CLINIC

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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 1184132664, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 8 → 16 → 7 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 + 1 + 6 + 4 + 2 + 3 + 4 + 6 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184132664.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Audiologist
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Physician Assistant
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Family Medicine
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Occupational Therapist
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Physician Assistant
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184132664, enumerated as an "organization" on January 18, 2018.

The provider is located at 1542 GOLF COURSE RD STE 204 GRAND RAPIDS, MN 55744 and the phone number is (218) 999-7000.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan and. Please consult your insurance carrier or call the provider to verify.