RIVERWAY CLINICS MTM
NPI 1407296148
Non-Pharmacy Dispensing Site in Anoka, MN
NPI Status: Active since June 26, 2013
Contact Information
2621 GREENHAVEN ROAD
ANOKA, MN
ZIP 55303
Phone: (763) 587-4200
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 24D0399992
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2027
About RIVERWAY CLINICS MTM
This page provides the complete NPI Profile along with additional information for Riverway Clinics Mtm, a provider established in Anoka, Minnesota operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1407296148 assigned on June 2013. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Riverway Clinics Mtm. The authorized official of this NPI record is Lisa Bjorkman (Director)
- NPI
- 1407296148
- Provider Legal Name
- GROUP HEALTH PLAN INC
- Other Organization Name
- RIVERWAY CLINICS MTM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2621 GREENHAVEN ROAD ANOKA, MN 55303
- Location Phone
- (763) 587-4200
- Mailing Address
- 8170 33RD AVE S MAILSTOP 21110Q MINNEAPOLIS, MN 55425
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2013
- Last Update Date
- 04-10-2023
- Code Navigator
Riverway Clinics Mtm is a medicare supplier with PTAN 20667935 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: Blood Glucose Monitors/Supplies (Non-Mail Order) or Continuous Positive Airway Pressure (CPAP) Devices or Respiratory Assist Devices.
Location Map
Secondary Locations
- 15245 Bluebird St NW Ste A
Andover, MN 55304
(952) 967-7969 - 530 3rd St NW
Elk River, MN 55330
(952) 967-7969
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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20667935
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other.
- Provider Type List
- MULTI-SPECIALTY - PHYSICIAN.
- Competitive Bidding
- NO
Supplies List
- 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
- Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
- Respiratory Assist Devices -
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
- 24D0399992
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- DR. ROSEN DIMITROV
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Riverway Clinics Mtm on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1407296148, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ANOKA, MN 55303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407296148, enumerated as an "organization" on June 26, 2013.
The provider is located at 2621 GREENHAVEN ROAD ANOKA, MN 55303 and the phone number is (763) 587-4200.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.
