SHAWNEETOWN HEALTHCARE CLINIC
NPI 1285614867
Family Medicine in Shawneetown,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 19, 2006

Contact Information

9525 Gold Hill Road
Shawneetown,
Post Code: 62984
Phone: (618) 269-3815
Fax: (618) 269-3274

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Shawneetown Healthcare Clinic in Shawneetown - Family Medicine

Shawneetown Healthcare Clinic is a Family Medicine in Shawneetown, . Shawneetown Healthcare Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shawneetown Healthcare Clinic is 1285614867. The last update date is 2021-09-02.

Shawneetown Healthcare Clinic's current location address is 9525 Gold Hill Road, Shawneetown, . You can contact this provider via phone number (618) 269-3815 and fax number (618) 269-3274. The mailing address for Shawneetown Healthcare Clinic is 9525 Gold Hill Road, Shawneetown, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1285614867
Provider Legal Name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Other Organization Name
SHAWNEETOWN HEALTHCARE CLINIC
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
9525 Gold Hill Road, Shawneetown,
Location Phone
(618) 269-3815
Location Fax
(618) 269-3274
Mailing Address
Po Box 155, Christopher, Illinois(IL)
Mailing Phone
618-724-2401
Mailing Fax
618-724-2571
Enumeration Date
2006-01-19
Last Update Date
2021-09-02
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

()
2 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

()

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
========= MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285614867
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651218812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 221651218812
2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 8 + 8 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1285614867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784
1124021308 JULIA RACKLEY PERRY MEMORIAL HOSPITAL
PERRY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital, Critical Access 530 PARK AVE E
PRINCETON, Illinois (IL)
815-875-2811