NPIMap

Organization Active NPI

Freeport Regional Health Care Foundation

Doing business as FHN-Family Healthcare Center Burchard

  • Durable Medical Equipment & Medical Supplies
  • Freeport, IL
National Provider Identifier
1003068909
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Doing business as
FHN-Family Healthcare Center Burchard
Mercy Health Western Region- Burchard Hills
Practice address
1010 W Fairway Dr
Freeport, IL 61032-6600
Phone
(815) 599-7421
NPI assigned
Oct 22, 2008
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon Dunphy-Alexander
Title
Cfo
Phone
(608) 757-4126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

1010 W Fairway Dr
Freeport, IL 61032-6600

Mailing address

421 W Exchange St
PO Box 268
Freeport, IL 61032-4008
Phone (815) 599-7958

Other names 2

  • FHN-Family Healthcare Center Burchard Doing business as
  • Mercy Health Western Region- Burchard Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930098418 IL DME Supplier - Physician - General Practice 9234041682 Practice locations: Freeport, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0946014FHN Family Healthcare Center- OB1010 Fairway, Freeport, IL 61032Provider-performed microscopyMay 11, 2027
14D1093273F H N Family Healthcare Center-Burchard Hills1010 Fairway, Freeport, IL 61032Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
FHN Family Heathcare Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1003068909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W EXCHANGE ST",
            "address_2": "PO BOX 268",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324008",
            "telephone_number": "815-599-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W FAIRWAY DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326600",
            "telephone_number": "815-599-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT REGIONAL HEALTH CARE FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH CORP",
        "enumeration_date": "2008-10-22",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "DUNPHY-ALEXANDER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-757-4126"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHN-Family Healthcare Center Burchard",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FHN-Family Healthcare Center Burchard",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Western Region- Burchard Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.