RED LAKE NATION YOUTH SAFE HARBOR INC
NPI 1851036123
Clinic/Center - Adolescent and Children Mental Health in Red Lake, MN

NPI Status: Active since May 02, 2022

Contact Information

15834 PILL HILL AVENUE
RED LAKE, MN
ZIP 56671
Phone: (218) 679-6071

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About RED LAKE NATION YOUTH SAFE HARBOR INC

This page provides the complete NPI Profile along with additional information for Red Lake Nation Youth Safe Harbor Inc, a provider established in Red Lake, Minnesota operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1851036123 assigned on May 2022. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Charlene Andersen (Revenue Generation Manager)

NPI
1851036123
Provider Name
RED LAKE NATION YOUTH SAFE HARBOR INC
Entity Type
Organization
Location Address
15834 PILL HILL AVENUE RED LAKE, MN 56671
Location Phone
(218) 679-6071
Mailing Address
PO BOX 590 REDLAKE, MN 56671
Mailing Phone
(218) 679-6071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2022
Last Update Date
07-17-2023
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Location Map

Secondary Locations

  • 23810 Hwy 1 East
    Red Lake, MN 56671
    (218) 679-2556

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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

CHARLENE ANDERSEN

Authorized Official Title
REVENUE GENERATION MANAGER
Authorized Official Phone
(218) 679-1320

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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.
1851036123
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28101031214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 0 + 3 + 1 + 2 + 1 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1851036123 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851036123, enumerated as an "organization" on May 02, 2022.

The provider is located at 15834 PILL HILL AVENUE RED LAKE, MN 56671 and the phone number is (218) 679-6071.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.