LAWRENCE COUNTY MEMORIAL HOSPITAL NPI 1366550055

NPI Information

  • NPI: 1366550055
  • Provider Name: LAWRENCE COUNTY MEMORIAL HOSPITAL
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: LAWRENCE COUNTY MEMORIAL HOSPITAL
  • Address: 2111 LEXINGTON AVE
    LAWRENCEVILLE, IL
    ZIP 62439
  • Phone: (618) 943-1000

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NPI Details

LAWRENCE COUNTY MEMORIAL HOSPITAL is a medicare defined swing bed unit in Lawrenceville, IL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. LAWRENCE COUNTY MEMORIAL HOSPITAL NPI is 1366550055. The provider is registered as an organization entity type.
The provider Is Doing Business As Lawrence County Memorial Hospital.

The provider's business location address is:

2111 LEXINGTON AVE
LAWRENCEVILLE, IL
ZIP 62439-085
Phone: (618) 943-1000
Fax: (618) 943-7223

The provider's authorized official is Carl Aten .
The authorized official title is Board Chairman and has the following contact phone number (618) 843-8424.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit14Z344ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10212OTHERILLINOISBLUE CROSS BLUE SHILED
25115002OTHERILLINOISBLUE CROSS BLUE SHILED
3108986OTHERILLINOISHEALTHLINK
4005219OTHERILLINOISHEALTH ALLIANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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