Randolph Hospital District is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Chester, Illinois. The current practice location for Randolph Hospital District is 1900 State St, Chester, Illinois. For appointments, you can reach them via phone at
(618) 826-2388. The mailing address for Randolph Hospital District is 1900 State St, Chester, Illinois and phone number is (618) 826-4581.
Randolph Hospital District is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1629469002. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(618) 826-2388.
Primary Care Clinic Profile
| Full Name | Randolph Hospital District |
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| Speciality | Clinic/Center |
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| Location | 1900 State St, Chester, Illinois |
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| Authorized Official Name and Position | Morgan Bendorf (CFO) |
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| Authorized Official Contact | 6188264581 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Randolph Hospital District
1900 State St
Chester
IL 62233-1116
Ph: (618) 826-4581 | Randolph Hospital District
1900 State St
Chester
IL 62233-1116
Ph: (618) 826-2388 |
NPI Details:
| NPI Number | 1629469002 |
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| Provider Enumeration Date | 02/06/2015 |
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| Last Update Date | 10/11/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5294649372 |
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| Medicare Enrollment ID | O20150414000018 |
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Medical Identifiers
Medical identifiers for Randolph Hospital District such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629469002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 036-051292 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036-052369 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036-130378 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036-087561 (Illinois) | Secondary |
| 208600000X | Surgery | 036-127160 (Illinois) | Secondary |
| 208600000X | Surgery | 036-046019 (Illinois) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 0001495 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-003568 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-003575 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209-009681 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041-149926 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209-009387 (Illinois) | Secondary |
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