Organization Name: | FERRELL HOSPITAL COMMUNITY FOUNDATION |
NPI Number: | 1457586620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLIFFORD E MORRIS (BOARD CHAIRMAN) |
Mailing Address: | 1306 Maple St Eldorado |
State: | IL US |
Postal Code: | 629301662 |
Phone Number: | 6182979665 |
Fax Number: | 6182979638 |
NPI Enumeration Date: | 05/18/2009 |
NPI Last Update Date: | 03/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
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