FREEPORT REGIONAL HEALTH CARE FOUNDATION NPI 1003068909

NPI Information

NPI: 1003068909
Provider Name: FREEPORT REGIONAL HEALTH CARE FOUNDATION

Doing Business As: FHN-FAMILY HEALTHCARE CENTER BURCHARD

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1010 W FAIRWAY DR
FREEPORT, IL
ZIP 61032
Phone: (815) 599-7421
Get Directions

FREEPORT REGIONAL HEALTH CARE FOUNDATION is a durable medical equipment medical supplies in Freeport, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FREEPORT REGIONAL HEALTH CARE FOUNDATION NPI is 1003068909. The provider is registered as an organization entity type.
The provider Is Doing Business As Fhn-family Healthcare Center Burchard.

The provider's business location address is:

1010 W FAIRWAY DR
FREEPORT, IL
ZIP 61032-600
Phone: (815) 599-7421

The provider's authorized official is Mark S Gridley .
The authorized official title is Ceo/president and has the following contact phone number (815) 599-6000.

The enumeration date for this NPI number is 10/22/2008 and was last updated on 5/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332S00000X	Hearing Aid Equipment				No
2	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1312400020	MEDICARE NSC	ILLINOIS
2	433440	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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