PRAIRIECARE
NPI 1629353495
Psychiatric Hospital in Maple Grove, MN
NPI Status: Active since October 12, 2011
Contact Information
12915 63RD AVE N
MAPLE GROVE, MN
ZIP 55369
Phone: (952) 826-8405
- Organization
- Psychiatric Hospital
- CLIA Number: 24D2098950
- CLIA Cert. Type: Other - PSYCHIATRIC HOSPITAL
- CLIA Exp. Date: 07-16-2027
About PRAIRIECARE
This page provides the complete NPI Profile along with additional information for Prairiecare, a provider established in Maple Grove, Minnesota operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1629353495 assigned on October 2011. The practitioner's primary taxonomy code is 283Q00000X with license number 26-3715906 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Joel Oberstar M.d. (Ceo)
- NPI
- 1629353495
- Provider Name
- PRAIRIECARE
- Entity Type
- Organization
- Location Address
- 12915 63RD AVE N MAPLE GROVE, MN 55369
- Location Phone
- (952) 826-8405
- Mailing Address
- 12915 63RD AVE N MAPLE GROVE, MN 55369
- Mailing Phone
- (952) 826-8405
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2011
- Last Update Date
- 10-12-2011
- 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
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- License No.
- 26-3715906
- License State
- MN
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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
- 24D2098950
- Facility Type
- Other - PSYCHIATRIC HOSPITAL
- Certificate Effective Date
- July 17, 2025
- Certificate Expiration Date
- July 16, 2027
- Laboratory Director
- DR. RYAN WILLIMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prairiecare 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 1629353495, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
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 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
MAPLE GROVE, MN 55369
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629353495, enumerated as an "organization" on October 12, 2011.
The provider is located at 12915 63RD AVE N MAPLE GROVE, MN 55369 and the phone number is (952) 826-8405.
Psychiatric Hospital with taxonomy code 283Q00000X.
