VISTA MEDICAL CENTER WEST
NPI 1992856819
General Acute Care Hospital in Waukegan, IL
NPI Status: Active since January 16, 2007
Contact Information
2615 WASHINGTON ST
WAUKEGAN, IL
ZIP 60085
Phone: (847) 360-4225
- Organization
- General Acute Care Hospital
- Accepts Insurance
- CLIA Number: 14D0666924
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2025
About VISTA MEDICAL CENTER WEST
This page provides the complete NPI Profile along with additional information for Vista Medical Center West, a provider established in Waukegan, Illinois operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1992856819 assigned on January 2007. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Vista Medical Center West. The authorized official of this NPI record is Tara P Richardson (Vp Patient Financial Services)
- NPI
- 1992856819
- Provider Legal Name
- WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC
- Other Organization Name
- VISTA MEDICAL CENTER WEST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2615 WASHINGTON ST WAUKEGAN, IL 60085
- Location Phone
- (847) 360-4225
- Mailing Address
- 2615 WASHINGTON ST WAUKEGAN, IL 60085
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2007
- Last Update Date
- 04-29-2016
- 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 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:
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - 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.
*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 |
|---|---|---|---|
| =========001 | MEDICAID (05) | IL | |
| =========401 | MEDICAID (05) | IL | |
| 140033 | MEDICARE OSCAR/CERTIFICATION (06) | IL |
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
- 14D0666924
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2023
- Certificate Expiration Date
- November 30, 2025
- Laboratory Director
- HIMANI D. DALIA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Vista Medical Center West on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 9 | 9 | 2 | 8 | 5 | 6 | 8 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 16 | 5 | 12 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1992856819 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174523013 | BARRY L MULLEN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2615 WASHINGTON ST ST. THERESE MEDICAL CENTER WAUKEGAN, IL 60085 (847) 360-2007 |
| 1487654307 | HWAJA L. RHEE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2615 WASHINGTON ST ST. THERESE MEDICAL CENTER WAUKEGAN, IL 60085 (847) 360-2007 |
| 1386845246 | BRIDGID SILVELA-BACALING NP Individual | Nurse Practitioner | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-2470 |
| 1780684670 | HIMANI D. DALIA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2615 WASHINGTON ST ST. THERESE MEDICAL CENTER WAUKEGAN, IL 60085 (847) 360-2007 |
| 1821463787 | EVA AMBER FRASCA APN Individual | Nurse Practitioner (Acute Care) | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-2860 |
| 1801947726 | WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC Organization | Psychiatric Unit | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-4225 |
| 1710038633 | WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC Organization | Rehabilitation Unit | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-4225 |
| 1508220989 | VISTA HEALTH SYSTEM Organization | Clinic/Center (Corporate Health) | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-2467 |
| 1497017230 | ANTERPREET DHANOYIA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-2210 |
| 1952350878 | VISTA HEALTH Organization | General Acute Care Hospital | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 249-3900 |
| 1760544514 | LAKE COUNTY PHYSICIANS ASSOCIATION Organization | Contractor | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-2475 |
| 1134634116 | V COVINGTON, LLC Organization | Psychiatric Hospital | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (855) 990-1900 |
| 1497252449 | V COVINGTON, LLC Organization | Psychiatry & Neurology (Psychiatry) | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (855) 990-1900 |
| 1629709126 | KOVELLA PSYCHIATRY, PLLC Organization | Psychiatry & Neurology (Psychiatry) | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (855) 990-1900 |
| 1851028245 | MS. LENETTE BALTAZAR PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (855) 990-1900 |
| 1609490952 | CAROL IRENE KESSEL PA-C Individual | Physician Assistant | 2615 WASHINGTON ST WAUKEGAN, IL 60085 (847) 360-2860 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992856819, enumerated in the NPI registry as an "organization" on January 16, 2007
The provider is located at 2615 Washington St Waukegan, Il 60085 and the phone number is (847) 360-4225
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0666924 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 16, 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.