RUM RIVER HEALTH SERVICES MILLE LACS COUNTY JAIL PROGRAM
NPI 1528345493
Counselor - Addiction (Substance Use Disorder) in Milaca, MN

NPI Status: Active since November 07, 2011

Contact Information

640 3RD STREET NE
MILACA, MN
ZIP 56353
Phone: (763) 389-5080
Fax: (763) 631-9117

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  • Organization
  • Counselor
  • Addiction (Substance Use Disorder)
  • CLIA Number: 24D1100943
  • CLIA Cert. Type: Other - PREGNANCY RESOURCE CENTER
  • CLIA Exp. Date: 06-15-2027

About RUM RIVER HEALTH SERVICES MILLE LACS COUNTY JAIL PROGRAM

This page provides the complete NPI Profile along with additional information for Rum River Health Services Mille Lacs County Jail Program, a provider established in Milaca, Minnesota operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1528345493 assigned on November 2011. The practitioner's primary taxonomy code is 101YA0400X with license number 1060530-1-CDT (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Rum River Health Services Mille Lacs County Jail Program. The authorized official of this NPI record is Mr. Jeffrey Larson (Executive Director)

NPI
1528345493
Provider Legal Name
RUM RIVER HEALTH SERVICES, INC.
Other Organization Name
RUM RIVER HEALTH SERVICES MILLE LACS COUNTY JAIL PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
640 3RD STREET NE MILACA, MN 56353
Location Phone
(763) 389-5080
Location Fax
(763) 631-9117
Mailing Address
101 18TH AVENUE NORTH PRINCETON, MN 55371
Mailing Phone
(763) 389-5080
Mailing Fax
(763) 631-9117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2011
Last Update Date
11-07-2011
Code Navigator

A Substance Abuse or Addiction Counselor like Rum River Health Services Mille Lacs County Jail Program advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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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

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
1060530-1-CDT
License State
MN

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MR. JEFFREY LARSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(763) 389-5080

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
24D1100943
Facility Type
Other - PREGNANCY RESOURCE CENTER
Certificate Effective Date
June 16, 2025
Certificate Expiration Date
June 15, 2027
Laboratory Director
ANN M. MORELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rum River Health Services Mille Lacs County Jail 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 1528345493, 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 2 → 4 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 6 + 4 + 1 + 0 + 4 + 1 + 8 + 24 = 67

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.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1528345493.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528345493, enumerated as an "organization" on November 07, 2011.

The provider is located at 640 3RD STREET NE MILACA, MN 56353 and the phone number is (763) 389-5080.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).