RED LAKE COMPREHENSIVE HEALTH SERVICES
NPI 1639466048
Dental Hygienist in Redlake, MN
NPI Status: Active since July 06, 2011
Contact Information
24809 HOSPITAL DRIVE
HIGHWAY 1
REDLAKE, MN
ZIP 56671
Phone: (218) 679-3316
Fax: (218) 679-3990
- Organization
- Dental Hygienist
- CLIA Number: 24D1049214
- CLIA Cert. Type: Other
- CLIA Exp. Date: 12-28-2027
About RED LAKE COMPREHENSIVE HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Red Lake Comprehensive Health Services, a provider established in Redlake, Minnesota operating as a Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1639466048 assigned on July 2011. The practitioner's primary taxonomy code is 124Q00000X. 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 authorized official of this NPI record is Oran D Beaulieu (Tribal Health Director)
- NPI
- 1639466048
- Provider Name
- RED LAKE COMPREHENSIVE HEALTH SERVICES
- Entity Type
- Organization
- Location Address
- 24809 HOSPITAL DRIVE HIGHWAY 1 REDLAKE, MN 56671
- Location Phone
- (218) 679-3316
- Location Fax
- (218) 679-3990
- Mailing Address
- PO BOX 249 REDLAKE, MN 56671
- Mailing Phone
- (218) 679-3316
- Mailing Fax
- (218) 679-3990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-06-2011
- Last Update Date
- 07-06-2011
- 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
Dental Hygienist
- Taxonomy Code
- 124Q00000X
- Type
- Dental Providers
- Taxonomy Description
- An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Group Taxonomy 193400000X MULTIPLE 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.
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
- 24D1049214
- Facility Type
- Other
- Certificate Effective Date
- December 29, 2025
- Certificate Expiration Date
- December 28, 2027
- Laboratory Director
- LAUREL LUSSIER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Red Lake Comprehensive Health Services 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 1639466048, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639466048, enumerated as an "organization" on July 06, 2011.
The provider is located at 24809 HOSPITAL DRIVE HIGHWAY 1 REDLAKE, MN 56671 and the phone number is (218) 679-3316.
Dental Hygienist with taxonomy code 124Q00000X.
