MINNESOTA SEX OFFENDER PROGRAM
NPI 1730354549
Psychiatric Residential Treatment Facility in Moose Lake, MN
NPI Status: Active since April 23, 2008
Contact Information
1111 HIGHWAY 73
MOOSE LAKE, MN
ZIP 55767
Phone: (218) 485-5300
- Organization
- Psychiatric Residential Treatment Facili...
- CLIA Number: 24D0975545
- CLIA Cert. Type: Other - SUPERVISED LIVING FACILIT
- CLIA Exp. Date: 06-08-2027
About MINNESOTA SEX OFFENDER PROGRAM
This page provides the complete NPI Profile along with additional information for Minnesota Sex Offender Program, a provider established in Moose Lake, Minnesota operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1730354549 assigned on April 2008. The practitioner's primary taxonomy code is 323P00000X with license number 339327 (MN). The provider is registered as an organization and their NPI record was last updated January 2026. The provider's
- NPI
- 1730354549
- Provider Legal Name
- MINNESOTA SEX OFFENDER PROGRAM
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1111 HIGHWAY 73 MOOSE LAKE, MN 55767
- Location Phone
- (218) 485-5300
- Mailing Address
- 3200 LABORE RD. SUITE 104 VADNAIS HEIGHTS, MN 55110
- Mailing Phone
- (651) 539-7200
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-23-2008
- Last Update Date
- 01-07-2026
- 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 Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- License No.
- 339327
- License State
- MN
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 679415000 | MEDICAID (05) | MN |
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
- 24D0975545
- Facility Type
- Other - SUPERVISED LIVING FACILIT
- Certificate Effective Date
- June 09, 2025
- Certificate Expiration Date
- June 08, 2027
- Laboratory Director
- SCOTT G. SUTTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Minnesota Sex Offender 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 1730354549, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MOOSE LAKE, MN 55767
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730354549, enumerated as an "organization" on April 23, 2008.
The provider is located at 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 and the phone number is (218) 485-5300.
Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
