ILLINOIS SW ORTHOPEDICS
NPI 1538759832
Durable Medical Equipment & Medical Supplies in Granite City, IL

NPI Status: Active since January 20, 2021

Contact Information

2044 MADISON AVE STE 5
GRANITE CITY, IL
ZIP 62040
Phone: (618) 451-0500

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 14D1064304
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-01-2027

About ILLINOIS SW ORTHOPEDICS

This page provides the complete NPI Profile along with additional information for Illinois Sw Orthopedics, a provider established in Granite City, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1538759832 assigned on January 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Illinois Sw Orthopedics. The authorized official of this NPI record is Laura J Fey (Director Revenue Cycle)

NPI
1538759832
Provider Legal Name
HEARTLAND RURAL HEALTHCARE, LLC
Other Organization Name
ILLINOIS SW ORTHOPEDICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2044 MADISON AVE STE 5 GRANITE CITY, IL 62040
Location Phone
(618) 451-0500
Mailing Address
PO BOX 5009 BRENTWOOD, TN 37024
Mailing Phone
(615) 221-3722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2021
Last Update Date
02-08-2021
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

LAURA J FEY

Authorized Official Title
DIRECTOR REVENUE CYCLE
Authorized Official Phone
(615) 221-3641

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
14D1064304
Facility Type
Physician Office
Certificate Effective Date
February 02, 2025
Certificate Expiration Date
February 01, 2027
Laboratory Director
LAWRENCE HARMON M D
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Illinois Sw Orthopedics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1538759832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681451886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 4 + 5 + 1 + 8 + 8 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1538759832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538759832, enumerated in the NPI registry as an "organization" on January 20, 2021

The provider is located at 2044 Madison Ave Ste 5 Granite City, Il 62040 and the phone number is (618) 451-0500

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 14D1064304 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 20, 2021. 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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