DEACONESS IL SPECIALTY EXPRESS 909 W MAIN ST
NPI 1447965751
Family Medicine in West Frankfort, IL
NPI Status: Active since January 20, 2023
Contact Information
909 W MAIN ST STE 2
WEST FRANKFORT, IL
ZIP 62896
Phone: (812) 450-6815
Fax: (812) 450-6822
- Organization
- Family Medicine
- CLIA Number: 14D2283001
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-30-2027
About DEACONESS IL SPECIALTY EXPRESS 909 W MAIN ST
This page provides the complete NPI Profile along with additional information for Deaconess Il Specialty Express 909 W Main St, a primary care provider established in West Frankfort, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1447965751 assigned on January 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Deaconess Il Specialty Express 909 W Main St operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Deaconess Il Specialty Express 909 W Main St. The authorized official of this NPI record is Kyle Dillman (Secretary)
- NPI
- 1447965751
- Provider Legal Name
- DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
- Other Organization Name
- DEACONESS IL SPECIALTY EXPRESS 909 W MAIN ST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 909 W MAIN ST STE 2 WEST FRANKFORT, IL 62896
- Location Phone
- (812) 450-6815
- Location Fax
- (812) 450-6822
- Mailing Address
- PO BOX 34266 BELFAST, ME 04915
- Mailing Phone
- (812) 450-6815
- Mailing Fax
- (812) 450-6822
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-20-2023
- Last Update Date
- 01-20-2023
- Code Navigator
A primary care provider (PCP) like Deaconess Il Specialty Express 909 W Main St sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 14D2283001
- Facility Type
- Physician Office
- Certificate Effective Date
- May 31, 2025
- Certificate Expiration Date
- May 30, 2027
- Laboratory Director
- JODI BRYANT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Deaconess Il Specialty Express 909 W Main St to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1447965751, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447965751, enumerated as an "organization" on January 20, 2023.
The provider is located at 909 W MAIN ST STE 2 WEST FRANKFORT, IL 62896 and the phone number is (812) 450-6815.
Family Medicine with taxonomy code 207Q00000X.
