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RANDOLPH HOSPITAL DISTRICT
NPI 1629469002
Clinic/Center - Rural Health in Chester, IL

Active since February 06, 2015CLIA 14D0434230 · Waiver
1900 STATE ST, CHESTER, IL 62233(618) 826-2388 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randolph Hospital District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH HOSPITAL DISTRICT (NPI 1629469002) is a healthcare organization registered as a rural health in Chester, Illinois and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Morgan Bendorf, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629469002
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL HOSPITAL
Location Address1900 STATE STChester, IL 62233-1116
Mailing Address1900 State StChester, IL 62233-1116 · (618) 826-4581
Phone(618) 826-2388
Organization SubpartNo
Authorized OfficialMorgan BendorfCfo · (618) 826-4581
Enumeration DateFebruary 6, 2015
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1629469002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036-051292 (IL), 036-052369 (IL), 036-130378 (IL), 036-087561 (IL)
Also ListedSurgeryTaxonomy 208600000X · License 036-127160 (IL), 036-046019 (IL)
Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License 0001495 (IL)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085-003568 (IL), 085-003575 (IL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-009681 (IL)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 041-149926 (IL), 209-009387 (IL)
1900 STATE ST, Chester, IL 62233
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Other Names 1

Other NameRandolph Hospital District

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0434230

Memorial Hospital (chester Clinic) · Chester, IL
Active · expires Jun 7, 2028
CLIA Number14D0434230
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorMichael Vanvrancken
Laboratory Phone(618) 826-2388
Laboratory LocationMemorial Hospital (chester Clinic)2319 Old Plank Rd, Chester, IL 62233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL L SAUERHAGE
Physical Therapist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4588
JASON DEAN ROY PT
Physical Therapist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4588
STOKES INSTITUTE OF UROLOGY
Specialist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4581
BRETT PRYWITCH
Radiology (Diagnostic Radiology)
1900 STATE ST, CHESTER MEMORIAL HOSPITAL
CHESTER, IL 62233
Randolph County (618) 826-4581
CHESTER MEDICAL GROUP LLC
Specialist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4581
DEBRA KAY ROHLFING MOT, OTR/L, CLT
Occupational Therapist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4581
DR. JAMES RAYMOND KIRKPATRICK M.D., PH.D.
Family Medicine
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-2388
KATHLEEN ANN WINKLER RPH
Pharmacist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-6134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital's NPI number?

The NPI number for Memorial Hospital is 1629469002. It was assigned to this organization in the NPPES registry on February 6, 2015. The provider is also known as Randolph Hospital District.

Where is Memorial Hospital located?

Memorial Hospital is located at 1900 State St, Chester, IL 62233. The listed phone number is (618) 826-2388.

What is Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0434230) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Hospital was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.