MERCY CRYSTAL LAKE EAST MEDICAL CENTER
NPI 1366568032
Durable Medical Equipment & Medical Supplies in Crystal Lake, IL

NPI Status: Active since March 22, 2007

Contact Information

390 E CONGRESS PKWY
STE M
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 444-0850

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About MERCY CRYSTAL LAKE EAST MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mercy Crystal Lake East Medical Center, a provider established in Crystal Lake, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1366568032 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 310800 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Mercy Crystal Lake East Medical Center. The authorized official of this NPI record is John W Cook (Vp Cfo)

NPI
1366568032
Provider Legal Name
MERCY HEATLH SYSTEM CORPORATION
Other Organization Name
MERCY CRYSTAL LAKE EAST MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
390 E CONGRESS PKWY STE M CRYSTAL LAKE, IL 60014
Location Phone
(815) 444-0850
Mailing Address
1000 MINERAL POINT AVE JANESVILLE, WI 53548
Mailing Phone
(608) 756-6000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-22-2007
Last Update Date
10-07-2009
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
310800
License State
WI
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

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

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

JOHN W COOK

Authorized Official Title
VP CFO
Authorized Official Phone
(608) 756-6000

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
0903300026MEDICARE NSC (07) 
14D1004883OTHER (01)CLIA
=========022MEDICAID (05)IL 
214660MEDICARE OSCAR/CERTIFICATION (06)IL 

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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 1366568032, 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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
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 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7 3 → 6

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 + 6 + 1 + 6 + 0 + 6 + 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 1366568032.

Other Providers at the Same Location


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

Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Social Worker
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Psychologist (Clinical)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Otolaryngology
390 E CONGRESS PKWY, UNIT M
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Child & Adolescent Psychiatry)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Psychiatry)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Clinic/Center (Physical Therapy)
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
Clinic/Center (Primary Care)
390 E CONGRESS PKWY, SUITE H
CRYSTAL LAKE, IL 60014
Speech-Language Pathologist
390 E CONGRESS PKWY, UNIT A
CRYSTAL LAKE, IL 60014
Occupational Therapist
390 E CONGRESS PKWY, SUITE A
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Child & Adolescent Psychiatry)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Speech-Language Pathologist
390 E CONGRESS PKWY, SUITE A
CRYSTAL LAKE, IL 60014
Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Occupational Therapy Assistant
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
Chiropractor
390 E CONGRESS PKWY, SUITE F
CRYSTAL LAKE, IL 60014
Occupational Therapy Assistant
390 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
Nurse Practitioner
390 E CONGRESS PKWY, SUITE C
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366568032, enumerated as an "organization" on March 22, 2007.

The provider is located at 390 E CONGRESS PKWY STE M CRYSTAL LAKE, IL 60014 and the phone number is (815) 444-0850.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.