FERRELL HOSPITAL COMMUNITY FOUNDATION (NPI# 1760625669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760625669 |
| Entity Type | Organization |
| Organization Name | FERRELL HOSPITAL COMMUNITY FOUNDATION |
| Other Organization Name | LOCUST STREET CLINIC |
| Practice Address |
1407 Locust St Eldorado IL 62930-1629 |
| Practice Telephone | 6182733361 |
| Practice Fax Number | 6182735501 |
| Mailing Telephone | 6182733361 |
| Mailing Fax Number | 6182735501 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | H WILLIAM HARTLEY (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 6184733361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| locust street clinic | 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 |
| 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 |
| 1871642439 | Ferrell Hospital Community Foundation | General Acute Care Hospital | 1201 Pine Street, Eldorado, IL 62930 | 2007-01-10 |
| Street Address |
1407 LOCUST ST |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1063885101 | Susan E Sigler | Nurse Practitioner | 1407 Locust St, Eldorado, IL 62930-1629 | 2015-11-12 |
| 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 |
| 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 |
| 1902989429 | Barbara L Kreps | Licensed Practical Nurse | 6007 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-21 |
| Find all providers in zip 62930 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194077156 | Katie Elizabeth Jackson | Physician Assistant | 1306 Maple Street, Ferrell Hospital Family Practice, Eldorado, IL 62930-1666 | 2012-10-15 |
| 1922259993 | Linda Redick | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| 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.