OSF SAINT JAMES- JOHN W ALBRECHT MEDICAL CENTER
NPI 1023060613
Medicare Defined Swing Bed Unit in Pontiac, IL
NPI Status: Active since May 16, 2006
Contact Information
2500 W REYNOLDS ST
PONTIAC, IL
ZIP 61764
Phone: (815) 847-2828
Fax: (815) 847-4912
- Organization
- Medicare Defined Swing Bed Unit
- Accepts Insurance
- CLIA Number: 14D0646841
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About OSF SAINT JAMES- JOHN W ALBRECHT MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Osf Saint James- John W Albrecht Medical Center, a provider established in Pontiac, Illinois operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1023060613 assigned on May 2006. The practitioner's primary taxonomy code is 275N00000X with license number 0005264 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Osf Saint James- John W Albrecht Medical Center. The authorized official of this NPI record is Sister Diane Marie Mcgrew (President, Osf Healthcare System)
- NPI
- 1023060613
- Provider Legal Name
- SAINT JAMES HOSPITAL
- Other Organization Name
- OSF SAINT JAMES- JOHN W ALBRECHT MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2500 W REYNOLDS ST PONTIAC, IL 61764
- Location Phone
- (815) 847-2828
- Location Fax
- (815) 847-4912
- Mailing Address
- 124 SW ADAMS ST PEORIA, IL 61602
- Mailing Phone
- (309) 655-2850
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-16-2006
- Last Update Date
- 02-24-2022
- Code Navigator
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
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- License No.
- 0005264
- License State
- IL
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
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.
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.
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 |
|---|---|---|---|
| 0768 | OTHER (01) | IL | BLUE CROSS/BLUE SHIELD |
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
- 14D0646841
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. RAKESH MANDAL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Osf Saint James- John W Albrecht Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for OSF SAINT JAMES- JOHN W ALBRECHT MEDICAL CENTER
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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. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 6 | 0 | 6 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 6 | 0 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 6 + 0 + 6 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1023060613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316988934 | DR. STEVEN S. NORRIS M.D. Individual | Family Medicine | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-3633 |
| 1215954839 | RICHARD RUFF D.O. Individual | Emergency Medicine | 2500 W REYNOLDS ST PONTIAC, IL 61764 (708) 383-6200 |
| 1861419327 | DANIEL BUTTERBACH M.D. Individual | Emergency Medicine | 2500 W REYNOLDS ST PONTIAC, IL 61764 (708) 783-9100 |
| 1780602946 | MUKESH V PATEL Individual | Internal Medicine | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 844-5115 |
| 1053421701 | BETHANY N. TOTH CRNA Individual | Nurse Anesthetist, Certified Registered | 2500 W REYNOLDS ST ADMINISTRATION PONTIAC, IL 61764 (815) 842-2828 |
| 1275626525 | MARY KRALL Individual | Nurse Practitioner | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-3633 |
| 1891888145 | DAWN LEMMERT Individual | Family Medicine | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-3633 |
| 1316030679 | RICHARD SAYLOR Individual | Physician Assistant | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 844-4062 |
| 1073606323 | SHAI NYI Individual | Obstetrics & Gynecology | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 844-6551 |
| 1255424511 | NANCY WHITE Individual | Nurse Practitioner | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 844-5115 |
| 1831282078 | WILLIAM SCHARF Individual | Surgery | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 844-5343 |
| 1194937318 | MRS. JAIME RIDGWAY OTR L Individual | Occupational Therapist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1669684866 | MRS. DAWN MARIE SALVATI MHS, CCC-SLP L Individual | Speech-Language Pathologist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1497967616 | JENNIFER ELISE SCHNEIDER CCC-SLP Individual | Speech-Language Pathologist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1619189826 | MRS. JODI LYNN NIBBELIN COTA L, ATP Individual | Occupational Therapy Assistant | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1871705996 | MRS. LIA ELLISE DRAPER MS CCC-SLP Individual | Speech-Language Pathologist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1174738611 | BARBARA J TODD RD LDN CDE Individual | Dietitian, Registered | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1508071044 | MRS. LESLIE MARY GRAMPP CDS Individual | Developmental Therapist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1043425580 | MRS. MELISSA RENEE PINA CDS Individual | Developmental Therapist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-2828 |
| 1659557932 | DR. DAVID JOSEPH SCHMIDT AU.D. Individual | Audiologist | 2500 W REYNOLDS ST PONTIAC, IL 61764 (815) 842-4591 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023060613, enumerated in the NPI registry as an "organization" on May 16, 2006
The provider is located at 2500 W Reynolds St Pontiac, Il 61764 and the phone number is (815) 847-2828
This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0646841 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.