Healthcare Provider Details

I. General information

NPI: 1700907250
Provider Name (Legal Business Name): MORRISON COMMUNITY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N JACKSON ST
MORRISON IL
61270-3042
US

IV. Provider business mailing address

303 N JACKSON ST
MORRISON IL
61270-3042
US

V. Phone/Fax

Practice location:
  • Phone: 815-772-5530
  • Fax: 815-772-7391
Mailing address:
  • Phone: 815-772-5530
  • Fax: 815-772-7391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number0001636
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAM PFISTER
Title or Position: CEO
Credential:
Phone: 812-772-5530