SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
NPI 1851731640
Special Hospital in Springfield, IL

NPI Status: Active since June 26, 2013

Contact Information

701 N 1ST ST
ROOM D443
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-0193

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  • Organization
  • Special Hospital
  • CLIA Number: 14D2033524
  • CLIA Cert. Type: Other - UNIVERSTIY LABORATORY
  • CLIA Exp. Date: 12-04-2027

About SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE

This page provides the complete NPI Profile along with additional information for Southern Illinois University School Of Medicine, a provider established in Springfield, Illinois operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1851731640 assigned on June 2013. The practitioner's primary taxonomy code is 284300000X with license number 125063931 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Andrew Verney M.d (Program Director)

NPI
1851731640
Provider Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Entity Type
Organization
Location Address
701 N 1ST ST ROOM D443 SPRINGFIELD, IL 62702
Location Phone
(217) 545-0193
Mailing Address
701 NORTH FIRST STREET SPRINGFIELD, IL 62712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2013
Last Update Date
06-26-2013
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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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
License No.
125063931
License State
IL
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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

ANDREW VERNEY M.D

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(217) 545-0193

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
14D2033524
Facility Type
Other - UNIVERSTIY LABORATORY
Certificate Effective Date
December 05, 2025
Certificate Expiration Date
December 04, 2027
Laboratory Director
JOSEPH C. MILBRANDT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Illinois University School Of Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1851731640, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
0
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 5 → 10 → 1 7 → 14 → 5 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 0 + 1 + 1 + 4 + 3 + 2 + 6 + 8 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1851731640.

Other Providers at the Same Location


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

Dietitian, Registered
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Pathology (Anatomic Pathology & Clinical Pathology)
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Radiology (Diagnostic Radiology)
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851731640, enumerated as an "organization" on June 26, 2013.

The provider is located at 701 N 1ST ST ROOM D443 SPRINGFIELD, IL 62702 and the phone number is (217) 545-0193.

Special Hospital with taxonomy code 284300000X.