ST. ELIZABETH'S HOSPITAL PROFESSIONAL BILLING
NPI 1053603936
General Acute Care Hospital in Belleville, IL

NPI Status: Active since May 10, 2011

Contact Information

211 SOUTH THIRD STREET
BELLEVILLE, IL
ZIP 62220
Phone: (618) 234-2021
Fax: (618) 641-5477

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 14D0434026
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About ST. ELIZABETH'S HOSPITAL PROFESSIONAL BILLING

This page provides the complete NPI Profile along with additional information for St. Elizabeth's Hospital Professional Billing, a provider established in Belleville, Illinois operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1053603936 assigned on May 2011. The practitioner's primary taxonomy code is 282N00000X with license number 2009505 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as St. Elizabeth's Hospital Professional Billing. The authorized official of this NPI record is Mark D Evard (Vp Of Revenue Cycle)

NPI
1053603936
Provider Legal Name
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Other Organization Name
ST. ELIZABETH'S HOSPITAL PROFESSIONAL BILLING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
211 SOUTH THIRD STREET BELLEVILLE, IL 62220
Location Phone
(618) 234-2021
Location Fax
(618) 641-5477
Mailing Address
3051 HOLLIS DR SPRINGFIELD, IL 62704
Mailing Phone
(618) 234-2120
Mailing Fax
(618) 641-5477
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2011
Last Update Date
10-31-2024
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
2009505
License State
IL
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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

MARK D EVARD

Authorized Official Title
VP OF REVENUE CYCLE
Authorized Official Phone
(217) 492-9651

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
14D0434026
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. PAUL A. KAY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Elizabeth's Hospital Professional Billing 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 1053603936, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 5 → 10 → 1 6 → 12 → 3 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 2 + 0 + 6 + 9 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053603936.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053603936, enumerated as an "organization" on May 10, 2011.

The provider is located at 211 SOUTH THIRD STREET BELLEVILLE, IL 62220 and the phone number is (618) 234-2021.

General Acute Care Hospital with taxonomy code 282N00000X.