MEMORIAL HOSPITAL
NPI 1073858262
General Acute Care Hospital - Critical Access in Carthage, IL

NPI Status: Active since November 29, 2012

Contact Information

1454 N COUNTY ROAD 2050
CARTHAGE, IL
ZIP 62321
Phone: (217) 357-8500
Fax: (217) 357-8564

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • CLIA Number: 14D0434688
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Memorial Hospital, a provider established in Carthage, Illinois operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1073858262 assigned on November 2012. The practitioner's primary taxonomy code is 282NC0060X with license number 0005611 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Memorial Hospital. The authorized official of this NPI record is Mrs. Ada Bair (Ceo)

NPI
1073858262
Provider Legal Name
MEMORIAL HOSPITAL ASSOCIATION
Other Organization Name
MEMORIAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1454 N COUNTY ROAD 2050 CARTHAGE, IL 62321
Location Phone
(217) 357-8500
Location Fax
(217) 357-8564
Mailing Address
PO BOX 160 CARTHAGE, IL 62321
Mailing Phone
(217) 357-8500
Mailing Fax
(217) 357-8564
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2012
Last Update Date
04-05-2019
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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 Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
0005611
License State
IL

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

MRS. ADA BAIR

Authorized Official Title
CEO
Authorized Official Phone
(217) 357-8566

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
14D0434688
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. ERIC E. SANTOS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Memorial Hospital 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 1073858262, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 7 → 14 → 5 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 6 + 5 + 1 + 6 + 2 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1073858262.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Surgery
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
General Acute Care Hospital (Critical Access)
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
Nurse Practitioner (Family)
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073858262, enumerated as an "organization" on November 29, 2012.

The provider is located at 1454 N COUNTY ROAD 2050 CARTHAGE, IL 62321 and the phone number is (217) 357-8500.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.