ALTON MEMORIAL HOSPITAL
NPI 1063669117
Ambulance in Alton, IL
NPI Status: Active since August 20, 2008
Contact Information
1 MEMORIAL DR
ALTON, IL
ZIP 62002
Phone: (618) 463-7311
Fax: (314) 653-4153
- Organization
- Ambulance
- CLIA Number: 14D0900414
- CLIA Cert. Type: Other - MOBILE OUTREACH VAN
- CLIA Exp. Date: 04-25-2027
About ALTON MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Alton Memorial Hospital, a provider established in Alton, Illinois operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1063669117 assigned on August 2008. The practitioner's primary taxonomy code is 341600000X with license number 1706379 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Susan Koesterer (Vice President, Finance)
- NPI
- 1063669117
- Provider Name
- ALTON MEMORIAL HOSPITAL
- Entity Type
- Organization
- Location Address
- 1 MEMORIAL DR ALTON, IL 62002
- Location Phone
- (618) 463-7311
- Location Fax
- (314) 653-4153
- Mailing Address
- 1 MEMORIAL DR ALTON, IL 62002
- Mailing Phone
- (618) 463-7311
- Mailing Fax
- (314) 653-4153
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-20-2008
- Last Update Date
- 03-22-2021
- 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
Ambulance
- Taxonomy Code
- 341600000X
- Type
- Transportation Services
- License No.
- 1706379
- License State
- IL
- Taxonomy Description
- An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
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
- 14D0900414
- Facility Type
- Other - MOBILE OUTREACH VAN
- Certificate Effective Date
- April 26, 2025
- Certificate Expiration Date
- April 25, 2027
- Laboratory Director
- ANGELA M. HOLBROOK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Alton Memorial Hospital 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.
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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 1063669117, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALTON, IL 62002
ALTON, IL 62002
ALTON, IL 62002
ALTON, IL 62002
ALTON, IL 62002
ALTON, IL 62002
ALTON, IL 62002
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063669117, enumerated as an "organization" on August 20, 2008.
The provider is located at 1 MEMORIAL DR ALTON, IL 62002 and the phone number is (618) 463-7311.
Ambulance with taxonomy code 341600000X.
