RIVERSIDE MEDICAL CENTER
NPI 1619144870
Rehabilitation, Substance Use Disorder Unit in Kankakee, IL

NPI Status: Active since May 15, 2008

Contact Information

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

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  • Organization
  • Rehabilitation, Substance Use Disorder U...
  • 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 Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1619144870 assigned on May 2008. The practitioner's primary taxonomy code is 276400000X with license number 0002014 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Bill W Douglas (Vice President And Cfo)

NPI
1619144870
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?
Yes
Enumeration Date
05-15-2008
Last Update Date
07-28-2016
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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

Rehabilitation, Substance Use Disorder Unit

Taxonomy Code
276400000X
Type
Hospital Units
License No.
0002014
License State
IL
Taxonomy Description
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

0002014 (IL)
2282N00000XHospitals

General Acute Care Hospital

0002014 (IL)
3324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

0002014 (IL)
43245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

0002014 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

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
=========009MEDICAID (05)IL 

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.
1619144870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629248814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 2 + 4 + 8 + 8 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1619144870 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
1538208210RIVERSIDE MEDICAL CENTER
Organization
General Acute Care Hospital350 N WALL ST
KANKAKEE, IL 60901
(815) 935-7256
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619144870, enumerated in the NPI registry as an "organization" on May 15, 2008

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 Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. 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 May 15, 2008. 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.