DEACONESS IL SPECIALTY GOOD SAMARITAN
NPI 1841907409
Family Medicine in Mount Vernon, IL

NPI Status: Active since November 03, 2022

Contact Information

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-4600

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  • Organization
  • Family Medicine

About DEACONESS IL SPECIALTY GOOD SAMARITAN

This page provides the complete NPI Profile along with additional information for Deaconess Il Specialty Good Samaritan, a primary care provider established in Mount Vernon, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1841907409 assigned on November 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Deaconess Il Specialty Good Samaritan. The authorized official of this NPI record is Kyle Dillman (Secretary Treasurer)

NPI
1841907409
Provider Legal Name
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Other Organization Name
DEACONESS IL SPECIALTY GOOD SAMARITAN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864
Location Phone
(618) 242-4600
Mailing Address
PO BOX 34266 BELFAST, ME 04915
Mailing Phone
(812) 450-6815
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2022
Last Update Date
12-02-2022
Code Navigator

A primary care provider (PCP) like Deaconess Il Specialty Good Samaritan 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

KYLE DILLMAN

Authorized Official Title
SECRETARY TREASURER
Authorized Official Phone
(812) 450-7399

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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 1841907409, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 8 + 0 + 1 + 4 + 4 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1841907409.

Other Providers at the Same Location


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

Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Emergency Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Social Worker (Clinical)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Social Worker (Clinical)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY, DEPARTMENT OF PATHOLOGY
MOUNT VERNON, IL 62864
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Nurse Anesthetist, Certified Registered
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Social Worker (Clinical)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Emergency Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Anesthesiology
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Anesthesiology
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Registered Nurse
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841907409, enumerated as an "organization" on November 03, 2022.

The provider is located at 1 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 and the phone number is (618) 242-4600.

Family Medicine with taxonomy code 207Q00000X.