FERRELL HOSPITAL COMMUNITY FOUNDATION (NPI# 1013299395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013299395 |
Entity Type | Organization |
Organization Name | FERRELL HOSPITAL COMMUNITY FOUNDATION |
Other Organization Name | FERRELL HOSPITAL FAMILY PRACTICE |
Practice Address |
1306 Maple St Eldorado IL 62930-1662 |
Practice Telephone | 6182979665 |
Practice Fax Number | 6182979664 |
Mailing Telephone | 6182979665 |
Mailing Fax Number | 6182979664 |
Enumeration Date | 2011-09-13 |
Last Update Date | 2011-09-13 |
Authorized Official Name | MR. THOAMS BARRY (CEO/ADMINISTRATOR) |
Authorized Official Telephone | 6182979615 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ferrell hospital family practice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619412954 | Ferrell Hospital Community Foundation | Family Medicine | 1340 Il Highway 1, Suite A, Carmi, IL 62821-4943 | 2016-12-22 |
1194713404 | Ferrell Hospital Community Foundation | General Acute Care Hospital | 1201 Pine Street, Eldorado, IL 62930 | 2005-10-11 |
1891339453 | Ferrell Hospital Community Foundation | Clinic/Center | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2019-11-06 |
1689217820 | Ferrell Hospital Community Foundation | Clinic/Center | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2019-10-21 |
1821569005 | Ferrell Hospital Community Foundation | Family Medicine | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2018-12-16 |
1134650997 | Ferrell Hospital Community Foundation | Clinic/Center | 1340 Il Highway 1, Ste A, Carmi, IL 62821-4943 | 2017-03-23 |
1457586620 | Ferrell Hospital Community Foundation | General Practice | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-05-18 |
1700011046 | Ferrell Hospital Community Foundation | General Practice | 1300 Us Highway 45 N, Eldorado, IL 62930-3765 | 2009-05-15 |
1760625669 | Ferrell Hospital Community Foundation | Physician Assistant | 1407 Locust St, Eldorado, IL 62930-1629 | 2009-04-08 |
1871642439 | Ferrell Hospital Community Foundation | General Acute Care Hospital | 1201 Pine Street, Eldorado, IL 62930 | 2007-01-10 |
Street Address |
1306 MAPLE ST |
City | ELDORADO |
State | IL |
Zip Code | 62930-1662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902886583 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 1306 Maple St, Doctors Clinic, Eldorado, IL 62930 | 2006-01-19 |
1346711553 | Meghan A Mitchell | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930-1662 | 2018-12-16 |
1194207258 | Caitlyn E Karns | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930 | 2018-09-05 |
1124561394 | Emily E Goemaat | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930-1662 | 2016-11-21 |
1154691319 | Casey L Carlile | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930 | 2012-01-05 |
1306074042 | Ferrell Hospital Family Practice | Clinic/Center | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-07-01 |
1457586620 | Ferrell Hospital Community Foundation | General Practice | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-05-18 |
1922259993 | Linda Redick | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2008-10-08 |
1265592455 | Jason D Churchill | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2006-12-11 |
1649353160 | Jacquelyn Dortch | Licensed Practical Nurse | 1306 Maple St, Doctors Clinic, Eldorado, IL 62930 | 2006-10-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
Find all providers in zip 62930 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417985086 | Preferred Hospital Leasing Eldorado Inc | Clinic/Center | 100 N. North Us Highway 277, Eldorado, TX 76936-1246 | 2006-06-30 |
1992773873 | Harrisburg Medical Center Inc | Clinic/Center | 1007 Us Route 45, Eldorado, IL 62930 | 2006-03-08 |
1073646436 | Harrisburg Medical Center Inc | Clinic/Center | 1007 Us Route 45, Eldorado, IL 62930-0250 | 2007-03-14 |
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1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.