BENTON COMMUNITY HEALTHCARE
NPI 1982845137
Clinic/Center - Rural Health in Benton, IL

NPI Status: Active since March 18, 2009

Contact Information

203 BAILEY LN
BENTON, IL
ZIP 62812
Phone: (618) 438-5670
Fax: (618) 438-5709

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 14D1049047
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-19-2025

About BENTON COMMUNITY HEALTHCARE

This page provides the complete NPI Profile along with additional information for Benton Community Healthcare, a primary care provider established in Benton, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1982845137 assigned on March 2009. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Benton Community Healthcare. The authorized official of this NPI record is Mr. Rex P Budde (Chief Executive Officer)

NPI
1982845137
Provider Legal Name
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Other Organization Name
BENTON COMMUNITY HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
203 BAILEY LN BENTON, IL 62812
Location Phone
(618) 438-5670
Location Fax
(618) 438-5709
Mailing Address
203 BAILEY LN BENTON, IL 62812
Mailing Phone
(618) 438-5670
Mailing Fax
(618) 438-5709
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-18-2009
Last Update Date
03-18-2009
Code Navigator

A primary care provider (PCP) like Benton Community Healthcare 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. REX P BUDDE

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(618) 457-5200

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
148942MEDICARE OSCAR/CERTIFICATION (06)IL 
XXXXXXXXX002MEDICAID (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
14D1049047
Facility Type
Physician Office
Certificate Effective Date
December 20, 2023
Certificate Expiration Date
December 19, 2025
Laboratory Director
BRIAN HARRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Benton Community Healthcare 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 1982845137, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 8 → 16 → 7 8 → 16 → 7 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 6 + 2 + 1 + 6 + 4 + 1 + 0 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1982845137.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
203 BAILEY LN
BENTON, IL 62812
Family Medicine
203 BAILEY LN
BENTON, IL 62812
Internal Medicine (Cardiovascular Disease)
203 BAILEY LN
BENTON, IL 62812
Obstetrics & Gynecology
203 BAILEY LN
BENTON, IL 62812
Clinic/Center (Rural Health)
203 BAILEY LN, SUITE 1
BENTON, IL 62812

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982845137, enumerated as an "organization" on March 18, 2009.

The provider is located at 203 BAILEY LN BENTON, IL 62812 and the phone number is (618) 438-5670.

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.