KANDIYOHI COUNTY AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
NPI 1770028771
Health Educator in Willmar, MN

NPI Status: Active since December 29, 2016

Contact Information

1000 LAKELAND DR SE
WILLMAR, MN
ZIP 56201
Phone: (320) 222-9622
Fax: (320) 222-7197

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  • Organization
  • Health Educator
  • CLIA Number: 24D2148952
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 05-21-2026

About KANDIYOHI COUNTY AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

This page provides the complete NPI Profile along with additional information for Kandiyohi County Area Family Young Men's Christian Association, a provider established in Willmar, Minnesota operating as a Health Educator. The healthcare provider is registered in the NPI registry with number 1770028771 assigned on December 2016. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Kandiyohi County Area Family Young Men's Christian Association operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Theresa Hillis (Ceo)

NPI
1770028771
Provider Name
KANDIYOHI COUNTY AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity Type
Organization
Location Address
1000 LAKELAND DR SE WILLMAR, MN 56201
Location Phone
(320) 222-9622
Location Fax
(320) 222-7197
Mailing Address
1000 LAKELAND DR SE WILLMAR, MN 56201
Mailing Phone
(320) 222-9622
Mailing Fax
(320) 222-7197
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2016
Last Update Date
12-29-2016
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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

Health Educator

Taxonomy Code
174H00000X
Type
Other Service Providers
Taxonomy Description
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

THERESA HILLIS

Authorized Official Title
CEO
Authorized Official Phone
(320) 222-9622

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
24D2148952
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
May 22, 2024
Certificate Expiration Date
May 21, 2026
Laboratory Director
MICHELLE R. SKROCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kandiyohi County Area Family Young Men's Christian Association 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 1770028771, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 7 → 14 → 5 0 → 0 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 0 + 2 + 1 + 6 + 7 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1770028771.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770028771, enumerated as an "organization" on December 29, 2016.

The provider is located at 1000 LAKELAND DR SE WILLMAR, MN 56201 and the phone number is (320) 222-9622.

Health Educator with taxonomy code 174H00000X.