Organization Name: | FREEPORT MEMORIAL HOSPITAL |
NPI Number: | 1033146279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL PERRY (CEO/PRESIDENT) |
Mailing Address: | 1045 W Stephenson St Freeport |
State: | IL US |
Postal Code: | 610324864 |
Phone Number: | 8155996000 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |