CRETEX BE WELL HEALTH CENTER
NPI 1619442290
Physician Assistant in Coon Rapids, MN

NPI Status: Active since October 10, 2018

Contact Information

8600 EVERGREEN BLVD NW
COON RAPIDS, MN
ZIP 55433
Phone: (802) 857-0400

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  • Organization
  • Physician Assistant
  • CLIA Number: 24D2157751
  • CLIA Cert. Type: Other - ONSITE HEALTH CENTER
  • CLIA Exp. Date: 11-12-2026

About CRETEX BE WELL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Cretex Be Well Health Center, a primary care provider established in Coon Rapids, Minnesota operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1619442290 assigned on October 2018. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 4 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 other name is Cretex Be Well Health Center. The authorized official of this NPI record is Terry Layman Md (Corporate Medical Officer)

NPI
1619442290
Provider Legal Name
MH HEALTH CARE SERVICES, PC
Other Organization Name
CRETEX BE WELL HEALTH CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
8600 EVERGREEN BLVD NW COON RAPIDS, MN 55433
Location Phone
(802) 857-0400
Mailing Address
20 WINOOSKI FALLS WAY STE 400 WINOOSKI, VT 05404
Mailing Phone
(802) 857-0400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2018
Last Update Date
10-20-2022
Code Navigator

A primary care provider (PCP) like Cretex Be Well Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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

TERRY LAYMAN MD

Authorized Official Title
CORPORATE MEDICAL OFFICER
Authorized Official Phone
(317) 727-6898

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
24D2157751
Facility Type
Other - ONSITE HEALTH CENTER
Certificate Effective Date
November 13, 2024
Certificate Expiration Date
November 12, 2026
Laboratory Director
LINNEA RITTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cretex Be Well Health Center 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 1619442290, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 8 + 4 + 4 + 2 + 1 + 8 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1619442290.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
8600 EVERGREEN BLVD NW
COON RAPIDS, MN 55433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619442290, enumerated as an "organization" on October 10, 2018.

The provider is located at 8600 EVERGREEN BLVD NW COON RAPIDS, MN 55433 and the phone number is (802) 857-0400.

Physician Assistant with taxonomy code 363A00000X.