LAWRENCE COUNTY MEMORIAL HOSPITAL
NPI 1366550055
Medicare Defined Swing Bed Unit in Lawrenceville, IL

NPI Status: Active since August 25, 2006

Contact Information

2111 LEXINGTON AVE
LAWRENCEVILLE, IL
ZIP 62439
Phone: (618) 943-1000
Fax: (618) 943-7223

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance
  • CLIA Number: 14D0044770
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-14-2027

About LAWRENCE COUNTY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Lawrence County Memorial Hospital, a provider established in Lawrenceville, Illinois operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1366550055 assigned on August 2006. The practitioner's primary taxonomy code is 275N00000X with license number 14Z344 (IL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Lawrence County Memorial Hospital. The authorized official of this NPI record is Carl Aten (Board Chairman)

NPI
1366550055
Provider Legal Name
LAWRENCE COUNTY MEMORIAL HOSPITAL
Other Organization Name
LAWRENCE COUNTY MEMORIAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2111 LEXINGTON AVE LAWRENCEVILLE, IL 62439
Location Phone
(618) 943-1000
Location Fax
(618) 943-7223
Mailing Address
2111 LEXINGTON AVE LAWRENCEVILLE, IL 62439
Mailing Phone
(618) 943-1000
Mailing Fax
(618) 943-7223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2006
Last Update Date
10-24-2022
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
14Z344
License State
IL
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

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

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

CARL ATEN

Authorized Official Title
BOARD CHAIRMAN
Authorized Official Phone
(618) 843-8424

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0212OTHER (01)ILBLUE CROSS BLUE SHILED
5115002OTHER (01)ILBLUE CROSS BLUE SHILED
108986OTHER (01)ILHEALTHLINK
005219OTHER (01)ILHEALTH ALLIANCE

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
14D0044770
Facility Type
Hospital
Certificate Effective Date
September 15, 2025
Certificate Expiration Date
September 14, 2027
Laboratory Director
DR. ROBERT K. REUTER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Lawrence County 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.

Reviews for LAWRENCE COUNTY MEMORIAL HOSPITAL

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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 1366550055, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 6 → 12 → 3 5 → 10 → 1 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 0 + 5 + 0 + 0 + 1 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1366550055.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Family Medicine
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Family Medicine
2111 LEXINGTON AVE, SUITE 6
LAWRENCEVILLE, IL 62439
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Clinic/Center
2111 LEXINGTON AVE, SUITE 6
LAWRENCEVILLE, IL 62439
Family Medicine
2111 LEXINGTON AVE, SUITE 3
LAWRENCEVILLE, IL 62439
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Clinic/Center (Rural Health)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Nurse Practitioner (Family)
2111 LEXINGTON AVE, STE #1
LAWRENCEVILLE, IL 62439
Clinic/Center (Rural Health)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Social Worker
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Nurse Practitioner
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Family Medicine
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366550055, enumerated as an "organization" on August 25, 2006.

The provider is located at 2111 LEXINGTON AVE LAWRENCEVILLE, IL 62439 and the phone number is (618) 943-1000.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.