ESSENTIA HEALTH PROCTOR CLINIC
NPI 1902103831
Clinic/Center - Multi-Specialty in Proctor, MN

NPI Status: Active since February 11, 2011

Contact Information

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
Phone: (218) 624-4819

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • CLIA Number: 24D0404091
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-30-2025

About ESSENTIA HEALTH PROCTOR CLINIC

This page provides the complete NPI Profile along with additional information for Essentia Health Proctor Clinic, a provider established in Proctor, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1902103831 assigned on February 2011. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Essentia Health Proctor Clinic. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)

NPI
1902103831
Provider Legal Name
THE DULUTH CLINIC, LTD
Other Organization Name
ESSENTIA HEALTH PROCTOR CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
211 S BOUNDARY AVE PROCTOR, MN 55810
Location Phone
(218) 624-4819
Mailing Address
211 S BOUNDARY AVE PROCTOR, MN 55810
Mailing Phone
(218) 624-4819
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-11-2011
Last Update Date
02-28-2024
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Select $1,500 - 25% - EPO
  • Select $3,500 - 30% - EPO

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.

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

KEVIN BOREN

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(218) 786-1009

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
1902103831MEDICAID (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
24D0404091
Facility Type
Physician Office
Certificate Effective Date
October 01, 2023
Certificate Expiration Date
September 30, 2025
Laboratory Director
SANDRA MATTSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Essentia Health Proctor Clinic 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.

Reviews for ESSENTIA HEALTH PROCTOR CLINIC

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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.
1902103831
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290220686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 0 + 6 + 8 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1902103831 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

MR. TODD C PERRY P.T.

Physical Therapist

(Orthopedic)

211 S BOUNDARY AVE
ESSENTIA HEALTH PROCTOR CLINIC
PROCTOR, MN
ZIP 55810

(218) 576-0200

DR. THOMAS JAMES HEINITZ M.D.

Family Medicine

211 S BOUNDARY AVE
ESSENTIA HEALTH PROCTOR CLINIC
PROCTOR, MN
ZIP 55810

(218) 576-0200

FIRSTSOLUTIONS

Clinic/Center

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

JESSICA ANN LINSTEN RN, CNP

Nurse Practitioner

(Family)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

FIRSTSOLUTIONS

Clinical Medical Laboratory

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

FIRSTSOLUTIONS

Clinic/Center

(Radiology)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

ERICA ANNE CHOPSKIE RN

Registered Nurse

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

LORRIE ANN SABURN RN

Registered Nurse

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

PATRICIA JO BATDORF PHYSICAL THERAPIST

Physical Therapist

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

MRS. LAUREL JULIA ASH RN, DNP, CNP

Nurse Practitioner

(Family)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 576-0200

DR. LYNN TAYLOR MACLEAN M.D.

Family Medicine

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 624-4819

KELLY A GERAGHTY PT

Physical Therapist

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 576-0200

KATE JEAN PELANT APRN, CNP

Nurse Practitioner

(Family)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 576-0200

MR. NICHOLAS HENRY THELL PT

Physical Therapist

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 576-0200

MS. KELLIE CHRISTINE MARGARIT APRN, CNP

Nurse Practitioner

(Family)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 786-8364

MR. KYLE JAMES OSMUNDSON APRN, CNP

Nurse Practitioner

(Family)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 786-8364

ELENA ROSE COWEN BANTLE PA-C

Physician Assistant

211 S BOUNDARY AVE
DULUTH, MN
ZIP 55810

(218) 576-0200

RACHEL ELAINE CARLSEN APRN, CNP

Nurse Practitioner

(Family)

211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810

(218) 576-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902103831, enumerated as an "organization" on February 11, 2011.

The provider is located at 211 S BOUNDARY AVE PROCTOR, MN 55810 and the phone number is (218) 624-4819.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.