Freeport Regional Health Care Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEPORT REGIONAL HEALTH CARE FOUNDATION

Doing business as

FHN Family Healthcare Center Forreston

Practice address

803 S 1St Ave
Forreston, IL 61030-9575

Phone

(815) 398-3130

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Perry, MDNPI 1972579175

Title

Ceo President

Phone

(815) 599-6000

Specialties & licenses 1

Addresses

Other names 1

• FHN Family Healthcare Center Forreston Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael R Perry, MD

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1972579175
  Authorized official Same address or phone
• April Lynn Moore, MD

  • Family Medicine Physician
  • Forreston, IL
  • NPI 1053523704
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013051465",
    "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": "610324030",
            "telephone_number": "815-599-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S 1ST AVE",
            "city": "FORRESTON",
            "state": "IL",
            "postal_code": "610309575",
            "telephone_number": "815-398-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT REGIONAL HEALTH CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "815-599-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHN Family Healthcare Center Forreston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muhanned Assaf
• Paige Marie Chamberlin, MSW
• Forreston Dental
• Forreston Fire Protection District
• Forrestville Valley U S D 221
• Katherine Kalina, LCSW
• April Lynn Moore, MD
• Keith R. Ruter, D.D.S.
• Schoaf Family Chiropractic LLC
• Daniel Patrick Schoaf, D.C.

• Durable Medical Equipment & Medical Supplies in Forreston, IL
• Providers in Forreston, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.