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
- 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
- Code Navigator
Location Map
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.
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 |
---|---|---|---|
1902103831 | MEDICAID (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. | |||||||||
1 | 9 | 0 | 2 | 1 | 0 | 3 | 8 | 3 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 0 | 2 | 2 | 0 | 6 | 8 | 6 | |
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 = 1 | 1 |
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
DR. THOMAS JAMES HEINITZ M.D.
Family Medicine
211 S BOUNDARY AVE
ESSENTIA HEALTH PROCTOR CLINIC
PROCTOR, MN
ZIP 55810
FIRSTSOLUTIONS
Clinic/Center
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
JESSICA ANN LINSTEN RN, CNP
Nurse Practitioner
(Family)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
FIRSTSOLUTIONS
Clinical Medical Laboratory
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
FIRSTSOLUTIONS
Clinic/Center
(Radiology)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
ERICA ANNE CHOPSKIE RN
Registered Nurse
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
LORRIE ANN SABURN RN
Registered Nurse
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
PATRICIA JO BATDORF PHYSICAL THERAPIST
Physical Therapist
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
MRS. LAUREL JULIA ASH RN, DNP, CNP
Nurse Practitioner
(Family)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
DR. LYNN TAYLOR MACLEAN M.D.
Family Medicine
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
KELLY A GERAGHTY PT
Physical Therapist
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
KATE JEAN PELANT APRN, CNP
Nurse Practitioner
(Family)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
MR. NICHOLAS HENRY THELL PT
Physical Therapist
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
MS. KELLIE CHRISTINE MARGARIT APRN, CNP
Nurse Practitioner
(Family)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
MR. KYLE JAMES OSMUNDSON APRN, CNP
Nurse Practitioner
(Family)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
ELENA ROSE COWEN BANTLE PA-C
Physician Assistant
211 S BOUNDARY AVE
DULUTH, MN
ZIP 55810
RACHEL ELAINE CARLSEN APRN, CNP
Nurse Practitioner
(Family)
211 S BOUNDARY AVE
PROCTOR, MN
ZIP 55810
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.