STARBUCK CLINIC
NPI 1417105552
Clinic/Center in Starbuck, MN

NPI Status: Active since September 03, 2008

Contact Information

501 POLER ST
STARBUCK, MN
ZIP 56381
Phone: (320) 239-3939
Fax: (320) 239-2802

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 24D1038677
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-30-2027

About STARBUCK CLINIC

This page provides the complete NPI Profile along with additional information for Starbuck Clinic, a provider established in Starbuck, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1417105552 assigned on September 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Starbuck Clinic. The authorized official of this NPI record is Mrs. Kerrie Mcevilly (President/ceo)

NPI
1417105552
Provider Legal Name
STEVENS COMMUNITY MEDICAL CENTER INC.
Other Organization Name
STARBUCK CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
501 POLER ST STARBUCK, MN 56381
Location Phone
(320) 239-3939
Location Fax
(320) 239-2802
Mailing Address
400 E. 1ST STREET MORRIS, MN 56267
Mailing Phone
(320) 239-3939
Mailing Fax
(320) 239-2802
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-03-2008
Last Update Date
10-04-2022
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
MN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

  • 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
  • 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

MRS. KERRIE MCEVILLY

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(320) 589-1313

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
24D1038677
Facility Type
Rural Health Clinic
Certificate Effective Date
May 31, 2025
Certificate Expiration Date
May 30, 2027
Laboratory Director
KAYLA J. ARNOLD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Starbuck Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for STARBUCK 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 1417105552, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 2 + 0 + 1 + 0 + 5 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1417105552.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Licensed Practical Nurse
501 POLER ST
STARBUCK, MN 56381
Licensed Practical Nurse
501 POLER ST
STARBUCK, MN 56381
Nurse Practitioner (Family)
501 POLER ST
STARBUCK, MN 56381
Clinic/Center
501 POLER ST
STARBUCK, MN 56381
Physician Assistant (Medical)
501 POLER ST
STARBUCK, MN 56381
Clinic/Center (Rural Health)
501 POLER ST
STARBUCK, MN 56381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417105552, enumerated as an "organization" on September 03, 2008.

The provider is located at 501 POLER ST STARBUCK, MN 56381 and the phone number is (320) 239-3939.

Clinic/Center with taxonomy code 261Q00000X.

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