WHITE EARTH HOMELESS PROGRAM
NPI 1366195133
Case Management in Mahnomen, MN

NPI Status: Active since February 01, 2022

Contact Information

2515 WORKFORCE CENTER ROAD
MAHNOMEN, MN
ZIP 56557
Phone: (218) 935-5554

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  • Organization
  • Case Management
  • CLIA Number: 24D2082111
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-06-2026

About WHITE EARTH HOMELESS PROGRAM

This page provides the complete NPI Profile along with additional information for White Earth Homeless Program, a provider established in Mahnomen, Minnesota operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1366195133 assigned on February 2022. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is White Earth Homeless Program. The authorized official of this NPI record is Patricia Ann Butler (Health Director)

NPI
1366195133
Provider Legal Name
WHITE EARTH BAND OF CHIPPEWA
Other Organization Name
WHITE EARTH HOMELESS PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2515 WORKFORCE CENTER ROAD MAHNOMEN, MN 56557
Location Phone
(218) 935-5554
Mailing Address
PO BOX 70 NAYTAHWAUSH, MN 56566
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-01-2022
Last Update Date
03-01-2022
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Location Map

Secondary Locations

  • 520 E Adams Ave
    Mahnomen, MN 56557
    (218) 935-5554

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

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

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

PATRICIA ANN BUTLER

Authorized Official Title
HEALTH DIRECTOR
Authorized Official Phone
(218) 983-3286

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
24D2082111
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 07, 2024
Certificate Expiration Date
August 06, 2026
Laboratory Director
PATRICIA A. BUTLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to White Earth Homeless Program 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 1366195133, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 6 → 12 → 3 1 → 2 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 2 + 9 + 1 + 0 + 1 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366195133.

Other Providers at the Same Location


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

Community/Behavioral Health
2515 WORKFORCE CENTER ROAD
MAHNOMEN, MN 56557

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366195133, enumerated as an "organization" on February 01, 2022.

The provider is located at 2515 WORKFORCE CENTER ROAD MAHNOMEN, MN 56557 and the phone number is (218) 935-5554.

Case Management with taxonomy code 251B00000X.