CRAWFORD HOSPITAL DISTRICT DBA CMH RURAL HEALTH OBLONG
NPI 1790769073
Clinic/Center - Rural Health in Oblong, IL

NPI Status: Active since December 01, 2005

Contact Information

1366 EAST 1050TH AVE
OBLONG, IL
ZIP 62449
Phone: (618) 592-3119
Fax: (618) 546-2648

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 14D0044790
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-30-2025

About CRAWFORD HOSPITAL DISTRICT DBA CMH RURAL HEALTH OBLONG

This page provides the complete NPI Profile along with additional information for Crawford Hospital District Dba Cmh Rural Health Oblong, a primary care provider established in Oblong, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1790769073 assigned on December 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Crawford Hospital District Dba Cmh Rural Health Oblong. The authorized official of this NPI record is Mr. Chris Bautista (Practice Management Officer)

NPI
1790769073
Provider Legal Name
CRAWFORD HOSPITAL DISTRICT
Other Organization Name
CRAWFORD HOSPITAL DISTRICT DBA CMH RURAL HEALTH OBLONG
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1366 EAST 1050TH AVE OBLONG, IL 62449
Location Phone
(618) 592-3119
Location Fax
(618) 546-2648
Mailing Address
1000 N ALLEN ST ROBINSON, IL 62454
Mailing Phone
(618) 592-3119
Mailing Fax
(618) 546-2648
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-01-2005
Last Update Date
06-24-2014
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A primary care provider (PCP) like Crawford Hospital District Dba Cmh Rural Health Oblong 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

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.

*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. CHRIS BAUTISTA

Authorized Official Title
PRACTICE MANAGEMENT OFFICER
Authorized Official Phone
(618) 546-2460

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
143488OTHER (01)ILMEDICARE
=========008MEDICAID (05)IL 

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
14D0044790
Facility Type
Hospital
Certificate Effective Date
December 01, 2023
Certificate Expiration Date
November 30, 2025
Laboratory Director
ROBERT REUTER DO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Crawford Hospital District Dba Cmh Rural Health Oblong 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 1790769073, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 1 + 8 + 0 + 1 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1790769073.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790769073, enumerated as an "organization" on December 01, 2005.

The provider is located at 1366 EAST 1050TH AVE OBLONG, IL 62449 and the phone number is (618) 592-3119.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.