MASON DISTRICT HOSPITAL
NPI 1063645539
General Acute Care Hospital - Critical Access in Havana, IL
NPI Status: Active since August 31, 2009
Contact Information
615 N PROMENADE ST
HAVANA, IL
ZIP 62644
Phone: (309) 543-8578
- Organization
- General Acute Care Hospital
- Critical Access
- CLIA Number: 14D0435387
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About MASON DISTRICT HOSPITAL
This page provides the complete NPI Profile along with additional information for Mason District Hospital, a provider established in Havana, Illinois operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1063645539 assigned on August 2009. The practitioner's primary taxonomy code is 282NC0060X with license number 057002848 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Harry Wolin (Ceo)
- NPI
- 1063645539
- Provider Name
- MASON DISTRICT HOSPITAL
- Entity Type
- Organization
- Location Address
- 615 N PROMENADE ST HAVANA, IL 62644
- Location Phone
- (309) 543-8578
- Mailing Address
- 615 N PROMENADE ST HAVANA, IL 62644
- Mailing Phone
- (309) 543-8578
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2009
- Last Update Date
- 08-31-2009
- 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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- 057002848
- License State
- IL
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.
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 |
|---|---|---|---|
| 141313 | MEDICARE OSCAR/CERTIFICATION (06) | ||
| =========001 | MEDICAID (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
- 14D0435387
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. RONALD CHAMPAGNE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mason District Hospital 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 MASON DISTRICT HOSPITAL
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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 | 6 | 3 | 6 | 4 | 5 | 5 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 12 | 4 | 10 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 1 + 0 + 5 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1063645539 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1063478782 | MASON HOSPITAL DISTRICT Organization | Clinic/Center (Rural Health) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1245296979 | TAD A YETTER M.D. Individual | Internal Medicine | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1861458952 | RICHARD W WAGONER M.D. Individual | Internal Medicine | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1902849649 | MASON HOSPITAL DISTRICT Organization | General Acute Care Hospital (Critical Access) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-4431 |
| 1801953724 | DANIEL PATRICK STOOPS M.D. Individual | Internal Medicine | 615 N PROMENADE ST HAVANA, IL 62644 (309) 534-8555 |
| 1992831614 | MRS. CYNTHIA CAROL NOLL C-FNP Individual | Nurse Practitioner (Family) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1336275072 | MRS. SHERIE LYNN SARFF TURNER PA Individual | Physician Assistant (Medical) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1710181797 | MASON HOSPITAL DISTRICT Organization | General Acute Care Hospital (Critical Access) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-4431 |
| 1457544389 | MARSHA R KIRCHNER CF-NP Individual | Nurse Practitioner | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1689823866 | MASON HOSPITAL DISTRICT Organization | Ambulance | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-4431 |
| 1912130444 | KELLEY D LAWLESS COTA/L Individual | Occupational Therapy Assistant | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
| 1740514975 | MASON DISTRICT HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
| 1245505320 | TRISHA A ARMSTRONG OTR/L Individual | Occupational Therapist | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
| 1992068027 | MARCIE L. GANSON PT, DPT, MBA Individual | Physical Therapist | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
| 1932463999 | DR. RANDALL JOE GOODMAN II DPT Individual | Physical Therapist | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
| 1063698694 | MS. KAREN FAYE BRAUER LCPC Individual | Counselor (Professional) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-6600 |
| 1437414539 | MR. JENNIFER KRISTINE SNIDER M.S., CCC-SLP/L Individual | Speech-Language Pathologist | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-4431 |
| 1841549532 | TRACEY MAE CANETE Individual | Speech-Language Pathologist | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
| 1467702985 | MEGAN WILSON ATC Individual | Specialist/Technologist (Athletic Trainer) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8461 |
| 1528312626 | MASON DISTRICT HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 615 N PROMENADE ST HAVANA, IL 62644 (309) 543-8578 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063645539, enumerated in the NPI registry as an "organization" on August 31, 2009
The provider is located at 615 N Promenade St Havana, Il 62644 and the phone number is (309) 543-8578
This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC0060X with a focus in Critical Access
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0435387 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 August 31, 2009. 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.