SULLIVAN COUNTY COMMUNITY HOSPITAL
NPI 1487450698
Clinic/Center - Critical Access Hospital in Sullivan, IN
NPI Status: Active since February 20, 2025
Contact Information
2120 N SECTION ST
SULLIVAN, IN
ZIP 47882
Phone: (812) 268-4311
- Organization
- Clinic/Center
- Critical Access Hospital
- Accepts Insurance
- CLIA Number: 15D0362144
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About SULLIVAN COUNTY COMMUNITY HOSPITAL
This page provides the complete NPI Profile along with additional information for Sullivan County Community Hospital, a provider established in Sullivan, Indiana operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1487450698 assigned on February 2025. The practitioner's primary taxonomy code is 261QC0050X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Jennifer Ridgway (Revenue Cycle Director)
- NPI
- 1487450698
- Provider Name
- SULLIVAN COUNTY COMMUNITY HOSPITAL
- Entity Type
- Organization
- Location Address
- 2120 N SECTION ST SULLIVAN, IN 47882
- Location Phone
- (812) 268-4311
- Mailing Address
- PO BOX 10 SULLIVAN, IN 47882
- Mailing Phone
- (812) 268-4311
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2025
- Last Update Date
- 01-30-2026
- Code Navigator
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
Clinic/Center Critical Access Hospital
- Taxonomy Code
- 261QC0050X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Catastrophic Essential (+ Incentives) - HMO
- Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 15D0362144
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- PATRICIA MILLER CANFIELD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sullivan County 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 1487450698, 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 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.
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 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SULLIVAN, IN 47882
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487450698, enumerated as an "organization" on February 20, 2025.
The provider is located at 2120 N SECTION ST SULLIVAN, IN 47882 and the phone number is (812) 268-4311.
Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
