Healthcare Provider Details

I. General information

NPI: 1891339453
Provider Name (Legal Business Name): FERRELL HOSPITAL COMMUNITY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S WASHINGTON ST STE A
MC LEANSBORO IL
62859-5607
US

IV. Provider business mailing address

1201 PINE ST
ELDORADO IL
62930-1634
US

V. Phone/Fax

Practice location:
  • Phone: 618-643-2835
  • Fax:
Mailing address:
  • Phone: 618-273-3361
  • Fax: 618-273-2504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLIFFORD E MORRIS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 618-273-3361