DOUGLAS PLACE TREATMENT CENTER LLC
NPI 1306277645
Substance Abuse Rehabilitation Facility in East Grand Forks, MN

NPI Status: Active since December 12, 2013

Contact Information

1111 GATEWAY DR NE
EAST GRAND FORKS, MN
ZIP 56721
Phone: (612) 326-7600

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 24D2077122
  • CLIA Cert. Type: Other - SUD TREATMENT FACILITY
  • CLIA Exp. Date: 04-30-2028

About DOUGLAS PLACE TREATMENT CENTER LLC

This page provides the complete NPI Profile along with additional information for Douglas Place Treatment Center Llc, a provider established in East Grand Forks, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1306277645 assigned on December 2013. The practitioner's primary taxonomy code is 324500000X with license number 1071339 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Lewis P Zeidner Phd (Ceo)

NPI
1306277645
Provider Legal Name
DOUGLAS PLACE TREATMENT CENTER LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1111 GATEWAY DR NE EAST GRAND FORKS, MN 56721
Location Phone
(612) 326-7600
Mailing Address
550 MAIN ST STE 230 SAINT PAUL, MN 55112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2013
Last Update Date
02-21-2025
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
1071339
License State
MN
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

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

  • 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

*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

LEWIS P ZEIDNER PHD

Authorized Official Title
CEO
Authorized Official Phone
(763) 245-8278

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
24D2077122
Facility Type
Other - SUD TREATMENT FACILITY
Certificate Effective Date
May 01, 2026
Certificate Expiration Date
April 30, 2028
Laboratory Director
EMILY BRUNNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Douglas Place Treatment Center Llc 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 1306277645, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 0 → 0 2 → 4 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 4 + 7 + 1 + 4 + 6 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1306277645.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1111 GATEWAY DR NE
EAST GRAND FORKS, MN 56721

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306277645, enumerated as an "organization" on December 12, 2013.

The provider is located at 1111 GATEWAY DR NE EAST GRAND FORKS, MN 56721 and the phone number is (612) 326-7600.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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