STATE OPERATED FORENSIC SERVICES - ST PETER
NPI 1730352204
Skilled Nursing Facility in Saint Peter, MN
NPI Status: Active since April 07, 2008
Contact Information
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
Phone: (507) 931-7166
Fax: (507) 931-7275
- Organization
- Skilled Nursing Facility
- CLIA Number: 24D0041074
- CLIA Cert. Type: Other - BEHAVIORAL HEALTH TREATME
- CLIA Exp. Date: 01-02-2027
About STATE OPERATED FORENSIC SERVICES - ST PETER
This page provides the complete NPI Profile along with additional information for State Operated Forensic Services - St Peter, a provider established in Saint Peter, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1730352204 assigned on April 2008. The practitioner's primary taxonomy code is 314000000X with license number 339700 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is State Operated Forensic Services - St Peter. The authorized official of this NPI record is Mrs. Michelle Borden Chalin Lnha (Administrator)
- NPI
- 1730352204
- Provider Legal Name
- STATE OPERATED FORENSIC NURSING SERVICES
- Other Organization Name
- STATE OPERATED FORENSIC SERVICES - ST PETER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 100 FREEMAN DR SAINT PETER, MN 56082
- Location Phone
- (507) 931-7166
- Location Fax
- (507) 931-7275
- Mailing Address
- 100 FREEMAN DR SAINT PETER, MN 56082
- Mailing Phone
- (507) 931-7166
- Mailing Fax
- (507) 931-7275
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2008
- Last Update Date
- 04-22-2008
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 339700
- License State
- MN
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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
- 24D0041074
- Facility Type
- Other - BEHAVIORAL HEALTH TREATME
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- CHARLES R. BUTLER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to State Operated Forensic Services - St Peter on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 3 | 5 | 2 | 2 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 6 | 5 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 6 + 5 + 4 + 2 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1730352204 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. PAUL BRADLEY RENNER M.D.
Psychiatry & Neurology
(Psychiatry)
100 FREEMAN DR
ST PETER, MN
ZIP 56082
DR. PETER BURNETT JOHANSEN M.D.
Psychiatry & Neurology
(Psychiatry)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
DR. BARRY L. EMBURY M.D.
Family Medicine
100 FREEMAN DR
ST PETER, MN
ZIP 56082
ROBERT SCOTT BAUER M.D.
Internal Medicine
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
DAVID SCOTT JOHNSON M.D.
Psychiatry & Neurology
(Forensic Psychiatry)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
SHANE EARL WERNSING M.D.
Psychiatry & Neurology
(Psychiatry)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
NEIL WAYNE ANDERSON DDS
Dentist
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
DR. SARAH ANN HOMMERDING PHARMD
Pharmacist
100 FREEMAN DR
ST PETER, MN
ZIP 56082
DR. MICHELLE BARNETT PH.D.
Psychologist
(Clinical)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
MR. PAUL STRAND HOLTE LICENCED PSYCHOLOGIS
Psychologist
(Clinical)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
DR. MELISSA A LEMBKE PHARMD
Pharmacist
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
MR. JAMES A FOLDEN RPH
Pharmacist
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
ROBIN LYNN BODE LICSW
Social Worker
(Clinical)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
KELLY JARCHO F-PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
REBECCA DEE KENNEDY CNP
Psychiatric Hospital
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
CHARLES RODNEY BUTLER III D.O.
Family Medicine
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
ST. PETER REGIONAL TREATMENT CENTER
Psychiatric Hospital
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
TARA LYNN LASSEN APRN
Nurse Practitioner
(Psychiatric/Mental Health)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
KYLEEANN SOPHIA STEVENS M.D.
Psychiatry & Neurology
(Forensic Psychiatry)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
MR. JOHN P. GEMLO CNP
Nurse Practitioner
(Adult Health)
100 FREEMAN DR
SAINT PETER, MN
ZIP 56082
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730352204, enumerated as an "organization" on April 07, 2008.
The provider is located at 100 FREEMAN DR SAINT PETER, MN 56082 and the phone number is (507) 931-7166.
Skilled Nursing Facility with taxonomy code 314000000X.
