FERRELL HOSPITAL COMMUNITY FOUNDATION NPI 1124905351

NPI Information

  • NPI: 1124905351
  • Provider Name: FERRELL HOSPITAL COMMUNITY FOUNDATION
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 14D2328882
  • Address: HARRISBURG SMALL STREET CLINIC
    250 SMALL STREET
    HARRISBURG, IL
    ZIP 62946
  • Phone: (618) 294-8264

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NPI Details

FERRELL HOSPITAL COMMUNITY FOUNDATION is a multi-specialty clinic center in Harrisburg, IL. FERRELL HOSPITAL COMMUNITY FOUNDATION NPI is 1124905351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

HARRISBURG SMALL STREET CLINIC
250 SMALL STREET
HARRISBURG, IL
ZIP 62946-319
Phone: (618) 294-8264
Fax: (618) 294-8265

The provider's authorized official is Clifford E Morris .
The authorized official title is Director Of Board and has the following contact phone number (618) 273-3361.

The CLIA number assigned to this NPI record is 14D2328882 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/19/2025 and was last updated on 10/16/2025.

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
1213E00000XPodiatristNo
2363L00000XNurse PractitionerNo
31041C0700XSocial WorkerClinicalNo
4207RR0500XInternal MedicineRheumatologyNo
5363LW0102XNurse PractitionerWomen's HealthNo
6207RC0000XInternal MedicineCardiovascular DiseaseNo
7207Q00000XFamily MedicineNo
8207RG0100XInternal MedicineGastroenterologyNo
9207RI0011XInternal MedicineInterventional CardiologyNo
10363LF0000XNurse PractitionerFamilyNo
11207RP1001XInternal MedicinePulmonary DiseaseNo
12363A00000XPhysician AssistantNo
13208600000XSurgeryNo
14208C00000XColon & Rectal SurgeryNo
15261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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