MEMORIAL HOSPITAL OF CARBONDALE
NPI 1346305638
Rehabilitation Hospital in Carbondale, IL

NPI Status: Active since December 27, 2006

Contact Information

305 W JACKSON ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 549-0721

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  • Organization
  • Rehabilitation Hospital
  • CLIA Number: 14D0436426
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-13-2027

About MEMORIAL HOSPITAL OF CARBONDALE

This page provides the complete NPI Profile along with additional information for Memorial Hospital Of Carbondale, a provider established in Carbondale, Illinois operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1346305638 assigned on December 2006. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Memorial Hospital Of Carbondale. The authorized official of this NPI record is Mr. Jeffrey Richard Fox P.t. (Physical Therapist)

NPI
1346305638
Provider Legal Name
MEMORIAL HOSPITAL
Other Organization Name
MEMORIAL HOSPITAL OF CARBONDALE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
305 W JACKSON ST CARBONDALE, IL 62901
Location Phone
(618) 549-0721
Mailing Address
1706 W JOSEPHINE LN MARION, IL 62959
Mailing Phone
(618) 993-6963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2006
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

Rehabilitation Hospital

Taxonomy Code
283X00000X
Type
Hospitals
License State
IL
Taxonomy Description
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

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. JEFFREY RICHARD FOX P.T.

Authorized Official Title
PHYSICAL THERAPIST
Authorized Official Phone
(618) 549-0721

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
14D0436426
Facility Type
Hospital
Certificate Effective Date
June 14, 2025
Certificate Expiration Date
June 13, 2027
Laboratory Director
DR. KEVIN G. NEILL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Memorial Hospital Of Carbondale 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 1346305638, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 6 + 0 + 1 + 0 + 6 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1346305638.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Specialist/Technologist (Athletic Trainer)
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Nurse Practitioner (Obstetrics & Gynecology)
305 W JACKSON ST, SUITE 100
CARBONDALE, IL 62901
Obstetrics & Gynecology
305 W JACKSON ST, SUITE 100
CARBONDALE, IL 62901
Physical Therapist
305 W JACKSON ST
CARBONDALE, IL 62901
Specialist
305 W JACKSON ST, SUITE 400
CARBONDALE, IL 62901
Social Worker (Clinical)
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Physician Assistant
305 W JACKSON ST, SUITE 102
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Surgery
305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901
Speech-Language Pathologist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Otolaryngology
305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901
Physical Therapist
305 W JACKSON ST
CARBONDALE, IL 62901
Physical Therapist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Obstetrics & Gynecology
305 W JACKSON ST, SUITE 100
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346305638, enumerated as an "organization" on December 27, 2006.

The provider is located at 305 W JACKSON ST CARBONDALE, IL 62901 and the phone number is (618) 549-0721.

Rehabilitation Hospital with taxonomy code 283X00000X.