MENDOTA COMMUNITY HOSPITAL
NPI 1376673087
Durable Medical Equipment & Medical Supplies in Mendota, IL

NPI Status: Active since March 06, 2007

Contact Information

1401 EAST 12TH STREET
MENDOTA, IL
ZIP 61342
Phone: (815) 539-7461
Fax: (815) 539-1461

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 14D0430934
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About MENDOTA COMMUNITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Mendota Community Hospital, a provider established in Mendota, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1376673087 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 0001537 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Robert C. Sehring (Ceo)

NPI
1376673087
Provider Name
MENDOTA COMMUNITY HOSPITAL
Entity Type
Organization
Location Address
1401 EAST 12TH STREET MENDOTA, IL 61342
Location Phone
(815) 539-7461
Location Fax
(815) 539-1461
Mailing Address
124 SW ADAMS ST PEORIA, IL 61602
Mailing Phone
(309) 655-2850
Mailing Fax
(815) 539-1461
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2007
Last Update Date
03-18-2024
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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.
0001537
License State
IL
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

0001537 (IL)

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

ROBERT C. SEHRING

Authorized Official Title
CEO
Authorized Official Phone
(309) 655-2850

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
14D0430934
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. EDWARD F. SANTOS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mendota Community 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.

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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 1376673087, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 7 → 14 → 5 6 → 12 → 3 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 2 + 7 + 6 + 0 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1376673087.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1401 EAST 12TH STREET
MENDOTA, IL 61342
Family Medicine
1401 EAST 12TH STREET
MENDOTA, IL 61342
Emergency Medicine
1401 EAST 12TH STREET
MENDOTA, IL 61342
Durable Medical Equipment & Medical Supplies
1401 EAST 12TH STREET
MENDOTA, IL 61342
General Acute Care Hospital (Critical Access)
1401 EAST 12TH STREET
MENDOTA, IL 61342
Medicare Defined Swing Bed Unit
1401 EAST 12TH STREET
MENDOTA, IL 61342
Nurse Anesthetist, Certified Registered
1401 EAST 12TH STREET
MENDOTA, IL 61342
General Acute Care Hospital (Critical Access)
1401 EAST 12TH STREET
MENDOTA, IL 61342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376673087, enumerated as an "organization" on March 06, 2007.

The provider is located at 1401 EAST 12TH STREET MENDOTA, IL 61342 and the phone number is (815) 539-7461.

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