PALOS COMMUNITY HOSPITAL
NPI 1851386692
General Acute Care Hospital in Palos Heights, IL
NPI Status: Active since September 19, 2005
Contact Information
12251 S 80TH AVE
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 361-4500
Fax: (708) 923-4000
- Organization
- General Acute Care Hospital
- Accepts Insurance
- CLIA Number: 14D1091365
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 10-29-2026
About PALOS COMMUNITY HOSPITAL
This page provides the complete NPI Profile along with additional information for Palos Community Hospital, a provider established in Palos Heights, Illinois operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1851386692 assigned on September 2005. The practitioner's primary taxonomy code is 282N00000X with license number 0003210 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Michael V Vivoda (President)
- NPI
- 1851386692
- Provider Name
- PALOS COMMUNITY HOSPITAL
- Entity Type
- Organization
- Location Address
- 12251 S 80TH AVE PALOS HEIGHTS, IL 60463
- Location Phone
- (708) 361-4500
- Location Fax
- (708) 923-4000
- Mailing Address
- 12251 S. 80TH AVENUE SUITE 1630 PALOS HEIGHTS, IL 60463
- Mailing Phone
- (708) 923-5173
- Mailing Fax
- (708) 923-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2005
- Last Update Date
- 09-27-2024
- 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
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 0003210
- 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.
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
- 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
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - 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.
*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 |
|---|---|---|---|
| 16020 | MEDICAID (05) | IL | |
| 52 | OTHER (01) | IL | BLUE CROSS NUMBER |
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
- 14D1091365
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- October 30, 2024
- Certificate Expiration Date
- October 29, 2026
- Laboratory Director
- ANTOINETTE SPERELAKIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Palos Community Hospital 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.
Reviews for PALOS COMMUNITY 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 | 8 | 5 | 1 | 3 | 8 | 6 | 6 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 6 | 8 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 6 + 8 + 1 + 2 + 6 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1851386692 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1457359465 | DR. KURT J WAGNER M.D. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1609874650 | DR. BRIAN C SULLIVAN M.D. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1013916626 | DR. JOSEPH C BREMER JR. M.D. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1588663090 | DR. GEORGE W BORRELLI D.O. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1184624074 | ANTOINETTE SPERELAKIS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL / PATHOLOGY DEPARTMENT PALOS HEIGHTS, IL 60463 (708) 923-5076 |
| 1124028022 | HELEN (MIN) CHEN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL / PATHOLOGY DEPARTMENT PALOS HEIGHTS, IL 60463 (708) 923-5076 |
| 1902806664 | MARCO CORDERO M.D. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1972503563 | DR. TAM VAN THAI D.O. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1396745717 | DR. GREGG GOLDBERG M.D. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1144220112 | DR. MARK CHARLES NETZEL D.O. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5811 |
| 1588665244 | DR. LORI MARASOVICH D.O. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1598766966 | DR. JAMES MASSIMILIAN D.O. Individual | Emergency Medicine | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5800 |
| 1639161383 | DR. MICHAEL A MICALETTI M.D. Individual | Radiology (Diagnostic Radiology) | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL PALOS HEIGHTS, IL 60463 (708) 923-4000 |
| 1376535815 | RADIOLOGY & NUCLEAR CONSULTANTS LTD Organization | Radiology (Diagnostic Radiology) | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL PALOS HEIGHTS, IL 60463 (708) 923-4000 |
| 1083602270 | RONALD MOCHIZUKI M.D. Individual | Internal Medicine (Gastroenterology) | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 923-5055 |
| 1700864998 | DR. FRANK MATHEU D.O. Individual | Radiology (Diagnostic Radiology) | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL PALOS HEIGHTS, IL 60463 (708) 923-4000 |
| 1093795924 | DR. STEPHEN E. CHESTER D.O. Individual | Emergency Medicine (Emergency Medical Services) | 12251 S 80TH AVE PALOS HEIGHTS, IL 60463 (708) 932-5800 |
| 1235109307 | MICHAEL J SOBCZAK M.D. Individual | Anesthesiology | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL PALOS HEIGHTS, IL 60463 (708) 923-5700 |
| 1477523561 | DAVID L BENDELL M.D. Individual | Anesthesiology | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL PALOS HEIGHTS, IL 60463 (708) 923-5700 |
| 1518937614 | STEPHEN L HENNENFENT M.D. Individual | Anesthesiology | 12251 S 80TH AVE PALOS COMMUNITY HOSPITAL PALOS HEIGHTS, IL 60463 (708) 923-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851386692, enumerated in the NPI registry as an "organization" on September 19, 2005
The provider is located at 12251 S 80th Ave Palos Heights, Il 60463 and the phone number is (708) 361-4500
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D1091365 for a "ancillary testing site in health care center" 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 September 19, 2005. 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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