Organization Name: | FERRELL HOSPITAL COMMUNITY FOUNDATION |
NPI Number: | 1013299395 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOAMS BARRY (CEO/ADMINISTRATOR) |
Mailing Address: | 1306 Maple St Eldorado |
State: | IL US |
Postal Code: | 629301662 |
Phone Number: | 6182979665 |
Fax Number: | 6182979664 |
NPI Enumeration Date: | 09/13/2011 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |