SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON
NPI 1487758801
Emergency Medicine in Mount Vernon, IL
NPI Status: Active since September 08, 2006
Contact Information
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 899-4600
Fax: (618) 532-9365
- Organization
- Emergency Medicine
About SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON
This page provides the complete NPI Profile along with additional information for Ssm Health Good Samaritan Hospital - Mt. Vernon, a provider established in Mount Vernon, Illinois operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1487758801 assigned on September 2006. The practitioner's primary taxonomy code is 207P00000X with license number 0004705 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. 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 Ssm Health Good Samaritan Hospital - Mt. Vernon. The authorized official of this NPI record is Mr. Jeremy Bradford (President)
- NPI
- 1487758801
- Provider Legal Name
- GOOD SAMARITAN REGIONAL HEALTH CENTER
- Other Organization Name
- SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864
- Location Phone
- (618) 899-4600
- Location Fax
- (618) 532-9365
- Mailing Address
- PO BOX 503927 SAINT LOUIS, MO 63150
- Mailing Phone
- (618) 899-4600
- Mailing Fax
- (618) 532-9365
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2006
- Last Update Date
- 11-27-2023
- 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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0004705
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | 0004705 (IL) |
| 2 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 0004705 (IL) |
| 3 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 0004705 (IL) |
| 4 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | 0004705 (IL) |
| 5 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 0004705 (IL) |
| 6 | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | 0004705 (IL) |
| 7 | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | 0004705 (IL) |
Group Taxonomy 193400000X MULTIPLE 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.
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.
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.
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 |
|---|---|---|---|
| 4115179 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD |
| 33898 | OTHER (01) | IL | GROUP HEALTH PLAN |
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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 1487758801, 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.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487758801, enumerated as an "organization" on September 08, 2006.
The provider is located at 1 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 and the phone number is (618) 899-4600.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
