CHILDREN'S MEDICAL CENTER
NPI 1699066985
Clinic/Center - Federally Qualified Health Center (FQHC) in Belleville, IL

NPI Status: Active since April 21, 2011

Contact Information

2810 FRANK SCOTT PKWY W
BELLEVILLE, IL
ZIP 62223
Phone: (618) 236-6336
Fax: (618) 236-9582

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About CHILDREN'S MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Children's Medical Center, a primary care provider established in Belleville, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1699066985 assigned on April 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Children's Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Children's Medical Center. The authorized official of this NPI record is Mr. Larry Mcculley (Ceo)

NPI
1699066985
Provider Legal Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Other Organization Name
CHILDREN'S MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2810 FRANK SCOTT PKWY W BELLEVILLE, IL 62223
Location Phone
(618) 236-6336
Location Fax
(618) 236-9582
Mailing Address
2041 GOOSE LAKE RD SAUGET, IL 62206
Mailing Phone
(618) 332-0953
Mailing Fax
(618) 236-9582
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2011
Last Update Date
08-02-2011
Code Navigator

A primary care provider (PCP) like Children's Medical Center 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

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

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LARRY MCCULLEY

Authorized Official Title
CEO
Authorized Official Phone
(618) 332-0694

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
=========061MEDICAID (05)IL 

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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 1699066985, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 0 → 0 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 0 + 6 + 1 + 2 + 9 + 1 + 6 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1699066985.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
2810 FRANK SCOTT PKWY W, 828
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, SUITE 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, SUITE 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, SUITE 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Occupational Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Occupational Therapist
2810 FRANK SCOTT PKWY W, STE.824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE.824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Occupational Therapist
2810 FRANK SCOTT PKWY W, STE 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, SUITE 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Physical Therapist
2810 FRANK SCOTT PKWY W, STE 824
BELLEVILLE, IL 62223
Occupational Therapist
2810 FRANK SCOTT PKWY W, SUITE 824
BELLEVILLE, IL 62223
Occupational Therapist
2810 FRANK SCOTT PKWY W, STE. 824
BELLEVILLE, IL 62223
Speech-Language Pathologist
2810 FRANK SCOTT PKWY W, STE 824
BELLEVILLE, IL 62223
Speech-Language Pathologist
2810 FRANK SCOTT PKWY W, STE 824
BELLEVILLE, IL 62223
Speech-Language Pathologist
2810 FRANK SCOTT PKWY W, STE 824
BELLEVILLE, IL 62223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699066985, enumerated as an "organization" on April 21, 2011.

The provider is located at 2810 FRANK SCOTT PKWY W BELLEVILLE, IL 62223 and the phone number is (618) 236-6336.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.