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General NPI Number Information
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NPI Number | 1164179479
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Entity Type | Organization
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Legal Business Name | MORRIS HOSPITAL
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1450 E DIVISION ST
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City | DIAMOND
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State | IL
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Zip | 60416-6050
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Country | US
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Telephone | 815-634-3500
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Fax | 815-705-1718
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Provider Business Mailing Address
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Address Line | 725 SCHOOL ST STE A
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City | MORRIS
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State | IL
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Zip | 60450-1207
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Country | US
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Telephone | 815-941-9124
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Fax | 815-941-4363
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL ALLEN LAWRENCE
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Credential |
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Telephone | 815-705-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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