TAYLORVILLE MEMORIAL HOSPITAL
NPI 1144292020
General Acute Care Hospital - Critical Access in Taylorville, IL

NPI Status: Active since February 03, 2006

Contact Information

201 E PLEASANT ST
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-3331
Fax: (217) 824-1624

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Acute Care Hospital
Critical Access
Accepts Insurance
CLIA Number: 14D0721776
CLIA Cert. Type: Hospital
CLIA Exp. Date: 01-02-2027

About TAYLORVILLE MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Taylorville Memorial Hospital, a provider established in Taylorville, Illinois operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1144292020 assigned on February 2006. The practitioner's primary taxonomy code is 282NC0060X. 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 Mr. Daniel J Raab (Ceo)

NPI: 1144292020
Provider Name: TAYLORVILLE MEMORIAL HOSPITAL
Entity Type: Organization
Location Address: 201 E PLEASANT ST TAYLORVILLE, IL 62568
Location Phone: (217) 824-3331
Location Fax: (217) 824-1624
Mailing Address: 201 E PLEASANT ST TAYLORVILLE, IL 62568
Mailing Phone: (217) 824-3331
Mailing Fax: (217) 824-1624
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-03-2006
Last Update Date: 08-22-2020
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO

Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO? 201 - PPO
Blue Choice Preferred Bronze PPO? 701 - PPO
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
Blue Choice Preferred Gold PPO? 204 - PPO
Blue Choice Preferred Gold PPO? 901 - PPO
Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
Blue Choice Preferred Security PPO? 200 - PPO
Blue Choice Preferred Silver PPO? 203 - PPO
Blue Choice Preferred Silver PPO? 801 - PPO
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: MR. DANIEL J RAAB
Authorized Official Title: CEO
Authorized Official Phone: (217) 824-3331

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: 14D0721776
Facility Type: Hospital
Certificate Effective Date: January 03, 2025
Certificate Expiration Date: January 02, 2027
Laboratory Director: JUNAID BAQAI
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Taylorville 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.

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	1	4	4	2	9	2	0	2	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	8	4	4	9	4	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 9 + 4 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1144292020 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.