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General NPI Number Information
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NPI Number | 1437913241
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Entity Type | Organization
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Legal Business Name | FERRELL HOSPITAL COMMUNITY FOUNDATION
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 30 VETERANS DR
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City | HARRISBURG
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State | IL
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Zip | 62946-3320
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Country | US
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Telephone | 618-273-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 PINE ST
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City | ELDORADO
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State | IL
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Zip | 62930-1634
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Country | US
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Telephone | 618-273-3361
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Fax | 618-273-2504
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Authorized Official
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Title or Position | DIRECTOR OF BOARD
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Name | CLIFFORD E MORRIS
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Credential |
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Telephone | 618-273-3361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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