MEMORIAL HOSPITAL ASSOCIATION
NPI 1528769825
Clinic/Center - Rehabilitation, Substance Use Disorder in Carthage, IL

NPI Status: Active since March 14, 2023

Contact Information

1450 N COUNTY ROAD 2050 E
CARTHAGE, IL
ZIP 62321
Phone: (217) 357-6888
Fax: (217) 357-6889

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About MEMORIAL HOSPITAL ASSOCIATION

This page provides the complete NPI Profile along with additional information for Memorial Hospital Association, a provider established in Carthage, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1528769825 assigned on March 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Teresa Smith (Cfo)

NPI
1528769825
Provider Name
MEMORIAL HOSPITAL ASSOCIATION
Entity Type
Organization
Location Address
1450 N COUNTY ROAD 2050 E CARTHAGE, IL 62321
Location Phone
(217) 357-6888
Location Fax
(217) 357-6889
Mailing Address
PO BOX 160 CARTHAGE, IL 62321
Mailing Phone
(217) 357-8500
Mailing Fax
(217) 357-6889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2023
Last Update Date
03-14-2023
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

TERESA SMITH

Authorized Official Title
CFO
Authorized Official Phone
(217) 357-8573

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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.
1528769825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481461884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 4 + 6 + 1 + 8 + 8 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1528769825 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 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962923615 MELANIE ANN SHARPE
Individual
Counselor (Mental Health)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6516
1134578420 ROSALINDA CAMPOS M.D
Individual
Family Medicine1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1659687432 ELIZABETH A PICKERING PA-C
Individual
Physician Assistant1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1427700517QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Organization
Durable Medical Equipment & Medical Supplies1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1679208870 JACOB HARVEY CADC
Individual
Counselor (Addiction (Substance Use Disorder))1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1548986565MRS. MARY JANE CLARK RN, CHES
Individual
Health and Wellness Coach1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6832
1063123677MR. MAX HOLMES LSW
Individual
Social Worker1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1790069540DR. CHAKA K BATLEY DNP, FPA-APRN, PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1114693181 GEORGE BRUMMELL PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1669152336 GAVIN O'NEIL LISW, LCSW
Individual
Social Worker (Clinical)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173
1952621922MS. TAMMY SUE TEEL MS ED.
Individual
Counselor (Professional)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1235773565 LINDSAY BRUMMELL LPC
Individual
Counselor (Professional)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-6888
1093451338 MELISSA K BREWER FNP-BC
Individual
Nurse Practitioner (Family)1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
(217) 357-2173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528769825, enumerated in the NPI registry as an "organization" on March 14, 2023

The provider is located at 1450 N County Road 2050 E Carthage, Il 62321 and the phone number is (217) 357-6888

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on March 14, 2023. 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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