RIVERSIDE MEDICAL CENTER
NPI 1538208210
General Acute Care Hospital in Kankakee, IL

NPI Status: Active since February 06, 2007

Contact Information

350 N WALL ST
KANKAKEE, IL
ZIP 60901
Phone: (815) 935-7256
Fax: (815) 935-7490

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance

About RIVERSIDE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Riverside Medical Center, a provider established in Kankakee, Illinois operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1538208210 assigned on February 2007. The practitioner's primary taxonomy code is 282N00000X with license number 0002014 (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 Mr. Bill W Douglas (Vice President And Cfo)

NPI
1538208210
Provider Name
RIVERSIDE MEDICAL CENTER
Entity Type
Organization
Location Address
350 N WALL ST KANKAKEE, IL 60901
Location Phone
(815) 935-7256
Location Fax
(815) 935-7490
Mailing Address
350 N WALL ST KANKAKEE, IL 60901
Mailing Phone
(815) 935-7256
Mailing Fax
(815) 935-7490
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2007
Last Update Date
12-18-2009
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
0002014
License State
IL
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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)
1273R00000XHospital Units

Psychiatric Unit

0002014 (IL)
2273Y00000XHospital Units

Rehabilitation Unit

0002014 (IL)

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
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • 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
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • 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
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - 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.

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.

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

MR. BILL W DOUGLAS

Authorized Official Title
VICE PRESIDENT AND CFO
Authorized Official Phone
(815) 935-7256

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
L006923OTHER (01)ILTRICARE
159332105MEDICAID (05)AR 
5532100MEDICAID (05)SD 
0132100MEDICAID (05)SD 
=========006MEDICAID (05)IL 
140186MEDICARE OSCAR/CERTIFICATION (06)IL 
80489100MEDICAID (05)WI 
900587100MEDICAID (05)FL 
=========001MEDICAID (05)IL 
807562900MEDICAID (05)ID 
100508766MEDICAID (05)NV 
=========401MEDICAID (05)IL 
14T186MEDICARE OSCAR/CERTIFICATION (06)IL 
816640MEDICARE PIN (08)IL 
026741200OTHER (01)ILBLACK LUNG
1400186MEDICAID (05)NC 
301547MEDICAID (05)MN 
01300193MEDICAID (05)KY 
=========009MEDICAID (05)IL 
142381601MEDICAID (05)TX 
140156B000000OTHER (01)ILSECTION 1011
=========OTHER (01)ILTAX ID NUMBER
1826OTHER (01)ILRESOLVE, BLUE CROSS
366869400OTHER (01)ILDEPT OF LABOR ACS
01706MEDICAID (05)ND 
0029751MEDICAID (05)NJ 
RIV0186NMEDICAID (05)AL 
N193210MEDICAID (05)KS 
131841OTHER (01)ILCOMPSYCH
3977249OTHER (01)ILAETNA, RESOLVE ONLY
100038960AMEDICAID (05)IN 
0240224MEDICAID (05)OH 
010415909MEDICAID (05)MO 
000256935XMEDICAID (05)GA 
360OTHER (01)ILBLUE CROSS
T=========MEDICARE UPIN (02)IL 
200012020AMEDICAID (05)OK 
262438MEDICAID (05)OR 
304727806MEDICAID (05)MI 
404727815MEDICAID (05)MI 
410575300MEDICAID (05)MN 
100455080AMEDICAID (05)KS 
0585372MEDICAID (05)IA 

Reviews for RIVERSIDE 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.
1538208210
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568401622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 4 + 0 + 1 + 6 + 2 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1538208210 is valid because the calculated check digit 0 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
1962459669ILLINOIS ANESTHESIA ASSOCIATES PC
Organization
Anesthesiology350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1093754129 STEVEN DECKER D.O.
Individual
Emergency Medicine350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1922047653 SEAN ATCHISON D.O.
Individual
Emergency Medicine350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1073553004DR. THADDEUS MANCZKO M.D.
Individual
Emergency Medicine (Emergency Medical Services)350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1982769360MS. REBECCA LENTZ SCHILTZ P.T.
Individual
Physical Therapist350 N WALL ST 5TH FLOOR REHAB SERVICES
KANKAKEE, IL 60901
(815) 935-7514
1922164458RIVERSIDE MEDICAL CENTER
Organization
Pharmacy (Home Infusion Therapy Pharmacy)350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1134348824 STEVEN G SCHAEFFER CRNA
Individual
Nurse Anesthetist, Certified Registered350 N WALL ST
KANKAKEE, IL 60901
(800) 444-6110
1902011414MR. TODD W JOHNSON PT
Individual
Physical Therapist350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7514
1306093356MR. BRENT RAY HUFFINES PA-C
Individual
Physician Assistant350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7500
1194052902MISS AMY LYNN SHRONTS MHS/CCC-SLP
Individual
Speech-Language Pathologist350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1275865305MRS. CANDY ANGELICA ROSAL CABURNAY OTR/L
Individual
Occupational Therapist350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7514
1013232651SOUND PHYSICIANS OF KANKAKEE ILLINOIS, LLC
Organization
Hospitalist350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1134189293 ERICA MARIE REYNOLDS PT
Individual
Physical Therapist350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7514
1801095963MRS. KELLY LYNN CUFFE RD, LD, CDE
Individual
Dietitian, Registered350 N WALL ST
KANKAKEE, IL 60901
(815) 936-6515
1689926529 SARAH RICE PT
Individual
Physical Therapist350 N WALL ST
KANKAKEE, IL 60901
(815) 476-5210
1790038222MRS. TRACI L FREITAS DPT, CLT
Individual
Physical Therapist350 N WALL ST REHAB SERVICES
KANKAKEE, IL 60901
(815) 935-7514
1619220993MRS. SARA JOY MARION PTA
Individual
Physical Therapy Assistant350 N WALL ST
KANKAKEE, IL 60901
(815) 933-1671
1780938720MR. NICANOR COTIANGCO PT
Individual
Physical Therapist350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7514
1285972000 SHAUN WHEELER DPT, PT
Individual
Physical Therapist350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7514
1144561838 MELISSA KAY HARMS C.O.T.A
Individual
Occupational Therapy Assistant350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538208210, enumerated in the NPI registry as an "organization" on February 06, 2007

The provider is located at 350 N Wall St Kankakee, Il 60901 and the phone number is (815) 935-7256

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. 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 February 06, 2007. 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.