AVERA MEDICAL GROUP HERON LAKE
NPI 1841372125
Clinic/Center in Worthington, MN

NPI Status: Active since October 19, 2006

Contact Information

508 10TH ST
WORTHINGTON, MN
ZIP 56187
Phone: (507) 372-2921
Fax: (507) 372-5789

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  • Organization
  • Clinic/Center
  • CLIA Number: 24D0405367
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-22-2027

About AVERA MEDICAL GROUP HERON LAKE

This page provides the complete NPI Profile along with additional information for Avera Medical Group Heron Lake, a provider established in Worthington, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1841372125 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Avera Medical Group Heron Lake. The authorized official of this NPI record is Julie Norton (Cfo/svp)

NPI
1841372125
Provider Legal Name
AVERA MCKENNAN
Other Organization Name
AVERA MEDICAL GROUP HERON LAKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
508 10TH ST WORTHINGTON, MN 56187
Location Phone
(507) 372-2921
Location Fax
(507) 372-5789
Mailing Address
508 10TH ST WORTHINGTON, MN 56187
Mailing Phone
(507) 372-2921
Mailing Fax
(507) 372-5789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2006
Last Update Date
05-31-2017
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

JULIE NORTON

Authorized Official Title
CFO/SVP
Authorized Official Phone
(605) 322-7818

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
24D0405367
Facility Type
Physician Office
Certificate Effective Date
December 23, 2025
Certificate Expiration Date
December 22, 2027
Laboratory Director
MICHELLE BLEILE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Avera Medical Group Heron Lake 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 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 1841372125, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 6 + 7 + 4 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1841372125.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
508 10TH ST
WORTHINGTON, MN 56187
Dietitian, Registered
508 10TH ST
WORTHINGTON, MN 56187
Internal Medicine
508 10TH ST
WORTHINGTON, MN 56187

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841372125, enumerated as an "organization" on October 19, 2006.

The provider is located at 508 10TH ST WORTHINGTON, MN 56187 and the phone number is (507) 372-2921.

Clinic/Center with taxonomy code 261Q00000X.