Riverside Medical Center is a General Acute Care Hospital based in Kankakee, IL. Riverside Medical Center practices in Kankakee, IL. The NPI Number for Riverside Medical Center is 1538208210 and holds a License No. 0002014 (Illinois).
The current practice location address for Riverside Medical Center is 350 N Wall St, Kankakee, IL and can be reached out via phone at 815-935-7256 and via fax at 815-935-7490.
Location: 350 N Wall St, Kankakee, IL, 60901-2901
Provider Profile Details
NPI Number
1538208210
Provider Name
Riverside Medical Center
Credential
Provider Entity Type
Organization
Address
350 N Wall St, Kankakee, IL, 60901-2901
Phone Number
815-935-7256
Fax Number
815-935-7490
Provider Enumeration Date
02/06/2007
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01706 | 05 | ND | |
| 0240224 | 05 | OH | |
| 100508766 | 05 | NV | |
| 262438 | 05 | OR | |
| 301547 | 05 | MN | |
| 807562900 | 05 | ID | |
| 0029751 | 05 | NJ | |
| 0585372 | 05 | IA | |
| 1400186 | 05 | NC | |
| 200012020A | 05 | OK | |
| 404727815 | 05 | MI | |
| 410575300 | 05 | MN | |
| 5532100 | 05 | SD | |
| 000256935X | 05 | GA | |
| 304727806 | 05 | MI | |
| 360 | 01 | IL | BLUE CROSS |
| 80489100 | 05 | WI | |
| N193210 | 05 | KS | |
| 01300193 | 05 | KY | |
| RIV0186N | 05 | AL | |
| 010415909 | 05 | MO | |
| 0132100 | 05 | SD | |
| 100455080A | 05 | KS | |
| 140156B000000 | 01 | IL | SECTION 1011 |
| 1826 | 01 | IL | RESOLVE, BLUE CROSS |
| 366869400 | 01 | IL | DEPT OF LABOR ACS |
| L006923 | 01 | IL | TRICARE |
| 142381601 | 05 | TX | |
| 3977249 | 01 | IL | AETNA, RESOLVE ONLY |
| 026741200 | 01 | IL | BLACK LUNG |
| 100038960A | 05 | IN | |
| 131841 | 01 | IL | COMPSYCH |
| 159332105 | 05 | AR | |
| 900587100 | 05 | FL |
Provider Business Practice Location Address Details
Address
350 N Wall St
City
State
Zip
60901-2901
Phone Number
815-935-7256
Fax Number
815-935-7490
Provider Business Mailing Address Details
Address
350 N Wall St
City
State
Zip
60901-2901
Phone Number
815-935-7256
Fax Number
815-935-7490
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
License No.
0002014 (Illinois)
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Provider's Taxonomy Details 2
Type
Hospital Units
Classification
Rehabilitation Unit
Speciality
-
Taxonomy
License No.
0002014 (Illinois)
Definition
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Provider's Taxonomy Details 3
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
-
Taxonomy
License No.
0002014 (Illinois)
Definition
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.
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