RANDOLPH HOSPITAL DISTRICT
NPI 1629469002
Clinic/Center - Rural Health in Chester, IL
NPI Status: Active since February 06, 2015
Contact Information
1900 STATE ST
CHESTER, IL
ZIP 62233
Phone: (618) 826-2388
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 14D0434230
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 06-07-2028
About RANDOLPH HOSPITAL DISTRICT
This page provides the complete NPI Profile along with additional information for Randolph Hospital District, a primary care provider established in Chester, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1629469002 assigned on February 2015. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Randolph Hospital District operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Randolph Hospital District. The authorized official of this NPI record is Mrs. Morgan Bendorf (Cfo)
- NPI
- 1629469002
- Provider Legal Name
- MEMORIAL HOSPITAL
- Other Organization Name
- RANDOLPH HOSPITAL DISTRICT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1900 STATE ST CHESTER, IL 62233
- Location Phone
- (618) 826-2388
- Mailing Address
- 1900 STATE ST CHESTER, IL 62233
- Mailing Phone
- (618) 826-4581
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2015
- Last Update Date
- 10-11-2024
- Code Navigator
A primary care provider (PCP) like Randolph Hospital District 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 036-051292 (IL) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 036-052369 (IL) |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 036-130378 (IL) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 036-087561 (IL) |
| 5 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 036-127160 (IL) |
| 6 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 036-046019 (IL) |
| 7 | 282NC0060X | Hospitals | General Acute Care Hospital | 0001495 (IL) |
| 8 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 085-003568 (IL) |
| 9 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 085-003575 (IL) |
| 10 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 209-009681 (IL) |
| 11 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 041-149926 (IL) |
| 12 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 209-009387 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*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
- 14D0434230
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- June 08, 2026
- Certificate Expiration Date
- June 07, 2028
- Laboratory Director
- MICHAEL VANVRANCKEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Randolph Hospital District 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.
Reviews for RANDOLPH HOSPITAL DISTRICT
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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 1629469002, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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.
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 68 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.
CHESTER, IL 62233
CHESTER, IL 62233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629469002, enumerated as an "organization" on February 06, 2015.
The provider is located at 1900 STATE ST CHESTER, IL 62233 and the phone number is (618) 826-2388.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.
