MISSION DETOX CENTER
NPI 1801082847
Community/Behavioral Health in Plymouth, MN

NPI Status: Active since September 24, 2007

Contact Information

3409 E MEDICINE LAKE BLVD
PLYMOUTH, MN
ZIP 55441
Phone: (763) 559-1883
Fax: (763) 559-1195

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance
  • CLIA Number: 24D2274707
  • CLIA Cert. Type: Other - NON-PROFIT FOR VULNERABLE
  • CLIA Exp. Date: 01-09-2027

About MISSION DETOX CENTER

This page provides the complete NPI Profile along with additional information for Mission Detox Center, a provider established in Plymouth, Minnesota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1801082847 assigned on September 2007. The practitioner's primary taxonomy code is 251S00000X with license number 8015661-DS (MN). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Mission Detox Center. The authorized official of this NPI record is Ms. Patricia J Murphy (Executive Director)

NPI
1801082847
Provider Legal Name
MISSIONS INC. PROGRAMS
Other Organization Name
MISSION DETOX CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3409 E MEDICINE LAKE BLVD PLYMOUTH, MN 55441
Location Phone
(763) 559-1883
Location Fax
(763) 559-1195
Mailing Address
3409 E MEDICINE LAKE BLVD PLYMOUTH, MN 55441
Mailing Phone
(763) 559-1883
Mailing Fax
(763) 559-1195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2007
Last Update Date
09-24-2007
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
8015661-DS
License State
MN
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. PATRICIA J MURPHY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(763) 559-1883

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
24D2274707
Facility Type
Other - NON-PROFIT FOR VULNERABLE
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
CASSONDRA HANSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mission Detox Center 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 1801082847, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 0 + 8 + 4 + 8 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801082847.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Skilled Nursing Facility
3409 E MEDICINE LAKE BLVD
PLYMOUTH, MN 55441
Occupational Therapist
3409 E MEDICINE LAKE BLVD
PLYMOUTH, MN 55441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801082847, enumerated as an "organization" on September 24, 2007.

The provider is located at 3409 E MEDICINE LAKE BLVD PLYMOUTH, MN 55441 and the phone number is (763) 559-1883.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.