Randolph Hospital District – Rural Health Clinic/Center, NPI 1629469002

Randolph Hospital District is a healthcare provider. based in Chester, Illinois. specializing in Rural Health Clinic/Center. The organization holds a License No. 036-127160 (IL). The NPI Number for Randolph Hospital District is 1629469002

Main info

Organization
Name
Randolph Hospital District
NPI
1629469002
Phone
(618) 826-4581
Address
1900 STATE ST
Authorized Official
MRS. MORGAN BENDORF CFO
Enumeration Date
6 February 2015
Last Update Date
11 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:11State licenses:12Digital endpointsUpdated within 12 months

Provider Addresses for Randolph Hospital District

  • 1900 STATE ST

    CHESTER, IL 622331116

    Phone: (618) 826-4581

    Type: Mailing

  • 2319 OLD PLANK ROAD

    CHESTER, IL 622331116

    Phone: (618) 826-2388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150414000018ORural Health ClinicILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62233)

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Reviews

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Frequently asked questions

What NPI should I save for Randolph Hospital District?
Save NPI 1629469002 if you need a stable reference for Randolph Hospital District.
Is Randolph Hospital District's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Randolph Hospital District's specialty in plain language?
Clinically, the directory lists Randolph Hospital District with Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place Randolph Hospital District?
The snapshot lists Chester, Illinois for Randolph Hospital District; download NPPES for the complete set.
Is Randolph Hospital District a real provider?
This page reflects official NPPES data for NPI 1629469002. Always confirm identity and privileges with the practice and licensing boards.

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