Randolph Hospital District

Critical Access Accepts Medicare


  
  1900 State St, Chester
Illinois, 62233-1116

 618-826-4581    618-826-4813
Randolph Hospital District is a Critical Access in Chester, Illinois. This pharmacy is owned and operated by Memorial Hospital. It is located at 1900 State St, Chester and it's customer support contact number is 618-826-4581. The authorized person of Randolph Hospital District is Ms. Morgan K Bendorf, CPA who is Cfo of the pharmacy and her contact number is 618-826-4581. Active license number of Randolph Hospital District is 0001495 for Critical Access in Illinois. Randolph Hospital District accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Randolph Hospital District is definition to come.


Pharmacy Details:
Randolph Hospital District type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Randolph Hospital District
Type: Critical Access
Location:1900 State St, Chester,
Illinois, 62233-1116
Phone:618-826-4581
Fax:618-826-4813
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Ms. Morgan K Bendorf
Credentials: CPA
Position: Cfo
Contact Number: 618-826-4581
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1851390132
NPI Enumeration Date: 19 Jul, 2005
NPI Last Update On: 02 Sep, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randolph Hospital District are as mentioned below.
SpecializationLicense NumberStateStatus
Critical Access 0001495IllinoisPrimary
Emergency Medical Services 036051292IllinoisSecondary
Emergency Medical Services 036052369IllinoisSecondary
Family Medicine 036-051292IllinoisSecondary
Family Medicine 036-052369IllinoisSecondary
Family Medicine 036-130378IllinoisSecondary
Family Medicine 036-087561IllinoisSecondary
Family Medicine 036-141161IllinoisSecondary
Surgery 036-127160IllinoisSecondary
Surgery 036-046019IllinoisSecondary
Pharmacy 054017088IllinoisSecondary
Physician Assistant 085-003568IllinoisSecondary
Physician Assistant 085-003575IllinoisSecondary
Nurse Anesthetist, Certified Registered 041-149926IllinoisSecondary
Nurse Anesthetist, Certified Registered 209-009387IllinoisSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0001495OtherIllinoisIdph
Medicare Enrollment:
Randolph Hospital District is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
5294649372O20031113000382Memorial HospitalPART B SUPPLIER - CLINIC/GROUP PRACTICE
5294649372O20080529000078Memorial HospitalPART A PROVIDER - CRITICAL ACCESS HOSPITAL
5294649372O20080529000137Memorial HospitalPART A PROVIDER - CRITICAL ACCESS HOSPITAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1900 State St,
Chester, Illinois
Zip: 62233-1116
Phone Number: 618-826-4581
Fax Number: 618-826-4813
Patients can reach Randolph Hospital District at 1900 State St, Chester, Illinois or can call on customer care at 618-826-4581.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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