MASSAC MEMORIAL HOSPITAL
NPI 1801941968
Ambulance in Metropolis, IL

NPI Status: Active since January 25, 2007

Contact Information

28 CHICK ST
METROPOLIS, IL
ZIP 62960
Phone: (618) 524-2176
Fax: (618) 524-4131

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  • Organization
  • Ambulance
  • CLIA Number: 14D0045094
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-15-2027

About MASSAC MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Massac Memorial Hospital, a provider established in Metropolis, Illinois operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1801941968 assigned on January 2007. The practitioner's primary taxonomy code is 341600000X with license number 0001420 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mrs. Lynn Goines (Chief Financial Officer)

NPI
1801941968
Provider Legal Name
MASSAC MEMORIAL HOSPITAL
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
28 CHICK ST METROPOLIS, IL 62960
Location Phone
(618) 524-2176
Location Fax
(618) 524-4131
Mailing Address
PO BOX 850 28 CHICK STREET METROPOLIS, IL 62960
Mailing Phone
(618) 524-2176
Mailing Fax
(618) 524-4131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
08-04-2025
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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

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
0001420
License State
IL
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

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

MRS. LYNN GOINES

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(618) 524-2176

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Advanced life support, level 2 (als 2)

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

This service was performed 15 times for 14 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

This service was performed 500 times for 348 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

This service was performed 92 times for 83 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

This service was performed 285 times for 207 patients

Ambulance service, basic life support, non-emergency transport, (bls)

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

This service was performed 168 times for 115 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 11,991 times for 545 patients

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
14D0045094
Facility Type
Hospital
Certificate Effective Date
April 16, 2025
Certificate Expiration Date
April 15, 2027
Laboratory Director
TODD E. STILES
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Massac Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MASSAC MEMORIAL HOSPITAL

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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 1801941968, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 1 + 8 + 4 + 2 + 9 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1801941968.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Audiologist
28 CHICK ST
METROPOLIS, IL 62960
Physical Therapist
28 CHICK ST
METROPOLIS, IL 62960
Speech-Language Pathologist
28 CHICK ST
METROPOLIS, IL 62960
Audiologist
28 CHICK ST
METROPOLIS, IL 62960
Ambulance (Land Transport)
28 CHICK ST
METROPOLIS, IL 62960
Registered Nurse
28 CHICK ST
METROPOLIS, IL 62960
Hospitalist
28 CHICK ST
METROPOLIS, IL 62960
Emergency Medicine (Emergency Medical Services)
28 CHICK ST
METROPOLIS, IL 62960
General Practice
28 CHICK ST, DECKER MEDICAL ANNEX
METROPOLIS, IL 62960
Dietitian, Registered
28 CHICK ST
METROPOLIS, IL 62960
General Acute Care Hospital (Critical Access)
28 CHICK ST
METROPOLIS, IL 62960
Dietitian, Registered
28 CHICK ST
METROPOLIS, IL 62960
Counselor (Professional)
28 CHICK ST
METROPOLIS, IL 62960
Nurse Practitioner (Family)
28 CHICK ST
METROPOLIS, IL 62960
Medicare Defined Swing Bed Unit
28 CHICK ST
METROPOLIS, IL 62960

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801941968, enumerated as an "organization" on January 25, 2007.

The provider is located at 28 CHICK ST METROPOLIS, IL 62960 and the phone number is (618) 524-2176.

Ambulance with taxonomy code 341600000X.