DEACONESS ILLINOIS CROSSROADS INC
NPI 1124745807
General Acute Care Hospital in Mount Vernon, IL

NPI Status: Active since October 24, 2022

Contact Information

8 DOCTORS PARK RD
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-5500
Fax: (618) 244-5566

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Acute Care Hospital
CLIA Number: 14D0875987
CLIA Cert. Type: Hospital
CLIA Exp. Date: 06-12-2027

About DEACONESS ILLINOIS CROSSROADS INC

This page provides the complete NPI Profile along with additional information for Deaconess Illinois Crossroads Inc, a provider established in Mount Vernon, Illinois operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1124745807 assigned on October 2022. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The provider's . The authorized official of this NPI record is Jason Andrew Hinkle (Cfo)

NPI: 1124745807
Provider Legal Name: DEACONESS ILLINOIS CROSSROADS INC
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 8 DOCTORS PARK RD MOUNT VERNON, IL 62864
Location Phone: (618) 244-5500
Location Fax: (618) 244-5566
Mailing Address: PO BOX 631956 CINCINNATI, OH 45263
Mailing Phone: (812) 450-6815
Mailing Fax: (618) 244-5566
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-24-2022
Last Update Date: 04-01-2026
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Location Map

Secondary Locations

4 Doctors Park Rd
Mount Vernon, IL 62864
(618) 244-5500

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
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: JASON ANDREW HINKLE
Authorized Official Title: CFO
Authorized Official Phone: (618) 998-7020

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: 14D0875987
Facility Type: Hospital
Certificate Effective Date: June 13, 2025
Certificate Expiration Date: June 12, 2027
Laboratory Director: BRIDGET HERSCHAP
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Deaconess Illinois Crossroads Inc 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.

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 1124745807, 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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

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 2 → 4 7 → 14 → 5 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 4 + 4 + 1 + 0 + 8 + 0 + 24 = 53

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.

60 - 53 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1124745807.