RED CLIFF AODA PROGRAM/MISHOMIS HOUSE
NPI 1457688863
Clinic/Center - Rehabilitation, Substance Use Disorder in Bayfield, WI
NPI Status: Active since November 05, 2009
Contact Information
37390 N BRADUM RD
BAYFIELD, WI
ZIP 54814
Phone: (715) 779-3741
Fax: (715) 779-3765
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 52D0855724
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-27-2027
About RED CLIFF AODA PROGRAM/MISHOMIS HOUSE
This page provides the complete NPI Profile along with additional information for Red Cliff Aoda Program/mishomis House, a provider established in Bayfield, Wisconsin operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1457688863 assigned on November 2009. The practitioner's primary taxonomy code is 261QR0405X with license number 1781 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Martin A Gordon Csac/ics (Program Director)
- NPI
- 1457688863
- Provider Name
- RED CLIFF AODA PROGRAM/MISHOMIS HOUSE
- Entity Type
- Organization
- Location Address
- 37390 N BRADUM RD BAYFIELD, WI 54814
- Location Phone
- (715) 779-3741
- Location Fax
- (715) 779-3765
- Mailing Address
- 88385 PIKE RD BAYFIELD, WI 54814
- Mailing Phone
- (715) 779-3741
- Mailing Fax
- (715) 779-3765
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2009
- Last Update Date
- 11-05-2009
- Code Navigator
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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1781
- License State
- WI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 1781 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42128500 | MEDICAID (05) | WI |
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
- 52D0855724
- Facility Type
- Physician Office
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- MS. KATHLEEN KALINOWSKI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Red Cliff Aoda Program/mishomis House 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.
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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 1457688863, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
BAYFIELD, WI 54814
BAYFIELD, WI 54814
BAYFIELD, WI 54814
BAYFIELD, WI 54814
BAYFIELD, WI 54814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457688863, enumerated as an "organization" on November 05, 2009.
The provider is located at 37390 N BRADUM RD BAYFIELD, WI 54814 and the phone number is (715) 779-3741.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
