FAIRFIELD MEMORIAL HOSPITAL HOME HEALTH AGENCY
NPI 1053409615
Home Health in Fairfield, IL
NPI Status: Active since October 10, 2006
Contact Information
303 NW 11TH ST
FAIRFIELD, IL
ZIP 62837
Phone: (618) 847-8260
Fax: (618) 847-8387
- Organization
- Home Health
- Accepts Insurance
About FAIRFIELD MEMORIAL HOSPITAL HOME HEALTH AGENCY
This page provides the complete NPI Profile along with additional information for Fairfield Memorial Hospital Home Health Agency, a provider established in Fairfield, Illinois operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1053409615 assigned on October 2006. The practitioner's primary taxonomy code is 251E00000X with license number 1007202 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Fairfield Memorial Hospital Home Health Agency. The authorized official of this NPI record is Mr. Michael J Brown (Cfo)
- NPI
- 1053409615
- Provider Legal Name
- FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
- Other Organization Name
- FAIRFIELD MEMORIAL HOSPITAL HOME HEALTH AGENCY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 303 NW 11TH ST FAIRFIELD, IL 62837
- Location Phone
- (618) 847-8260
- Location Fax
- (618) 847-8387
- Mailing Address
- 303 NW 11TH ST FAIRFIELD, IL 62837
- Mailing Phone
- (618) 847-8260
- Mailing Fax
- (618) 847-8387
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2006
- Last Update Date
- 02-22-2012
- 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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 1007202
- License State
- IL
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- WellFirst by Medica Bronze $0 Copay PCP Visits - EPO
- WellFirst by Medica Bronze Share - EPO
- WellFirst by Medica Catastrophic - EPO
- WellFirst by Medica Expanded Bronze Standard - EPO
- WellFirst by Medica Gold $0 Copay PCP Visits - EPO
- WellFirst by Medica Gold Copay Plus - EPO
- WellFirst by Medica Gold Standard - EPO
- WellFirst by Medica Silver $0 Copay PCP Visits - EPO
- WellFirst by Medica Silver Copay Plus - EPO
- WellFirst by Medica Silver Standard - EPO
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 |
|---|---|---|---|
| 147612 | MEDICARE OSCAR/CERTIFICATION (06) | IL | |
| =========002 | MEDICAID (05) | IL | |
| 9730 | OTHER (01) | IL | BLUE CROSS |
Reviews for FAIRFIELD MEMORIAL HOSPITAL HOME HEALTH AGENCY
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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 | 5 | 3 | 4 | 0 | 9 | 6 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 0 | 18 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 0 + 1 + 8 + 6 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1053409615 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1841380508 | JOAN A POTTER CRNA Individual | Nurse Anesthetist, Certified Registered | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1750438362 | FAIRFIELD MEMORIAL HOSPITAL Organization | Pharmacy (Long Term Care Pharmacy) | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8244 |
| 1558418111 | FAIRFIELD MEMORIAL HOSPITAL Organization | Pharmacy (Institutional Pharmacy) | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8244 |
| 1518910330 | DR. CHRISTOPHER D BEEHN DPT, OCS, CSCS Individual | Physical Therapist | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8256 |
| 1790982650 | APRIL JOY BEST M.S. CCC-SLP Individual | Speech-Language Pathologist | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1063802916 | WHITNEY ELAINE BUCKLES RD, LDN Individual | Dietitian, Registered | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8326 |
| 1548657158 | DYLAN WAYNE STENNETT NP Individual | Nurse Practitioner (Family) | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-4617 |
| 1124494174 | MRS. MARY LOU MCCULLEY RN CDE Individual | Health Educator | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1831297761 | KYLE D KAKAC MD Individual | Hospitalist | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1649442419 | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION Organization | Family Medicine | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1407932601 | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION Organization | Skilled Nursing Facility | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1093345167 | DANA SHANTEL TAYLOR LCSW Individual | Social Worker (Clinical) | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8362 |
| 1770594277 | FAIRFIELD MEMORIAL HOSPITAL Organization | Pharmacy (Institutional Pharmacy) | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1255422416 | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION Organization | General Acute Care Hospital (Critical Access) | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8260 |
| 1821186479 | FAIRFIELD MEMORIAL HOSPITAL Organization | Nursing Facility/Intermediate Care Facility | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-8260 |
| 1508214669 | DR. KORY BLANK M.D Individual | Orthopaedic Surgery | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-4282 |
| 1689130775 | REBEKAH MARIE BLANK PA-C Individual | Physician Assistant | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 847-4282 |
| 1134877939 | DEANDRA MARISSAH THOMPSON PA Individual | Physician Assistant | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
| 1649994344 | SUSANNE REMYNSE Individual | Nurse Practitioner | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 919-4010 |
| 1891110532 | LINDA SUE JENNETTE Individual | Nurse Anesthetist, Certified Registered | 303 NW 11TH ST FAIRFIELD, IL 62837 (618) 842-2611 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053409615, enumerated in the NPI registry as an "organization" on October 10, 2006
The provider is located at 303 Nw 11th St Fairfield, Il 62837 and the phone number is (618) 847-8260
This medical organization specializes in Home Health with taxonomy code 251E00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 10, 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].
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