FERRELL HOSPITAL COMMUNITY FOUNDATION (NPI# 1619412954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619412954 |
| Entity Type | Organization |
| Organization Name | FERRELL HOSPITAL COMMUNITY FOUNDATION |
| Other Organization Name | CARMI FAMILY MEDICINE |
| Practice Address |
1340 Il Highway 1 Suite A Carmi IL 62821-4943 |
| Mailing Address |
1201 Pine St Eldorado IL 62930-1634 |
| Practice Telephone | 6182733361 |
| Practice Fax Number | 6182732504 |
| Mailing Telephone | 6182733361 |
| Mailing Fax Number | 6182732504 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | JODIE SMITH (PFS DIRECTOR) |
| Authorized Official Telephone | 6182733361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036137058 | IL | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014935 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Carmi Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
1340 IL HIGHWAY 1 SUITE A |
| City | CARMI |
| State | IL |
| Zip Code | 62821-4943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134650997 | Ferrell Hospital Community Foundation | Clinic/Center | 1340 Il Highway 1, Ste A, Carmi, IL 62821-4943 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1629580790 | Patricia Danielle Trout | Speech-Language Pathologist | 113 10th St., Carmi, IL 62821 | 2017-10-30 |
| 1851841159 | Rhonda Lenkaitis | Pharmacist | 1344 Il Hwy 1, Carmi, IL 62821 | 2016-10-11 |
| 1467884577 | Leevi Burnett | Physical Therapy Assistant | 216 College Blvd., Carmi, IL 62821 | 2013-07-31 |
| 1760731145 | Katie Beth Rowland | Occupational Therapist | Joyner Therapy Services, 108 April Avenue, Carmi, IL 62821 | 2012-08-31 |
| 1184952814 | James A Burzynski | Speech-Language Pathologist | Wabash Christian Retirement Center, 216 College Blvd, Carmi, IL 62821 | 2009-11-18 |
| 1609942317 | Robert Raymond Dolan | Dentist | 314 East Robinson Street, Carmi, IL 62821 | 2006-11-27 |
| 1710063292 | Zahid Saqib | Family Medicine | 402 S Plum, Carmi, IL 62821 | 2006-10-27 |
| 1356422844 | Wal-mart Stores, Inc | Technician/Technologist | 1344 Illinois Hwy #1, Carmi, IL 62821 | 2006-10-18 |
| 1710905229 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1344 Il Highway 1, Carmi, IL 62821 | 2006-07-17 |
| Find all providers in zip 62821 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730514316 | Lisa Dawn Russell | Nurse Practitioner | 1343 County Road 1450 E, Carmi, IL 62821-5205 | 2013-09-13 |
| 1669414504 | Kathy Lynn Taylor | Nurse Practitioner | 1112 Oak St Ste 102, Carmi, IL 62821-1344 | 2006-06-12 |
| 1831196120 | Angela Lea O'dell | Nurse Practitioner | 1112 Oak St, Carmi, IL 62821-1344 | 2005-07-01 |
| 1871147819 | Jamie Lea Jacobs | Nurse Practitioner | 1112 Oak St, Carmi, IL 62821 | 2019-07-29 |
| 1588185888 | Diana Vaughn | Nurse Practitioner | 1112 Oak St Ste 102, Carmi, IL 62821-1344 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.