FERRELL HOSPITAL FAMILY PRACTICE (NPI# 1306074042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306074042 |
| Entity Type | Organization |
| Organization Name | FERRELL HOSPITAL FAMILY PRACTICE |
| Practice Address |
1306 Maple St Eldorado IL 62930-1662 |
| Practice Telephone | 6182979660 |
| Practice Fax Number | 6182979661 |
| Mailing Telephone | 6182979660 |
| Mailing Fax Number | 6182979661 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MR. THOMAS BARRY (CEO) |
| Authorized Official Telephone | 6182733361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0005363 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689803298 | Ferrell Hospital Family Practice | Clinic/Center | 30 Veterans Dr, Harrisburg, IL 62946-3320 | 2009-07-06 |
| 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 |
| 1013299395 | Ferrell Hospital Community Foundation | Clinic/Center | 1306 Maple St, Eldorado, IL 62930-1662 | 2011-09-13 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922312396 | Ferrell Hospital Family Practice Clinic | Clinic/Center | 1201 Pine St, Eldorado, IL 62930-1634 | 2010-07-28 |
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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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.