FREEPORT MEMORIAL HOSPITAL (NPI# 1033146279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033146279 |
| Entity Type | Organization |
| Organization Name | FREEPORT MEMORIAL HOSPITAL |
| Other Organization Name | FHN HOSPICE |
| Practice Address |
1045 W Stephenson St Freeport IL 61032-4864 |
| Mailing Address |
773 W Lincoln St Ste 403 Po Box 857 Freeport IL 61032-4980 |
| Practice Telephone | 8155996000 |
| Mailing Telephone | 8515997240 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | MICHAEL PERRY (CEO/PRESIDENT) |
| Authorized Official Telephone | 8155996000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| FHN Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205960127 | Freeport Memorial Hospital | Skilled Nursing Facility | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2007-03-15 |
| 1326183427 | Freeport Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2007-02-20 |
| 1447228788 | Freeport Memorial Hospital | General Acute Care Hospital | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-03-11 |
| Street Address |
1045 W STEPHENSON ST |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-4864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030202 | Beth A Kalnins | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-02-06 |
| 1699381723 | Ryan Michael Kerr | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-09-23 |
| 1821619701 | Angela La Dow | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-05-01 |
| 1396385126 | Dawn M Zielke | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4899 | 2020-01-09 |
| 1013404151 | Linda Marie Kolka | Emergency Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2018-04-14 |
| 1093225377 | Josie Orr | Registered Nurse | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-10-02 |
| 1346769171 | Sarah E Marsh | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-09-13 |
| 1356880264 | Elizabeth Smith | Speech-Language Pathologist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-02-13 |
| 1215474358 | Courtney Braselton | Occupational Therapist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-01-27 |
| 1891140448 | Shevawn Svehla | Social Worker | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
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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.