Organization Active NPI

Farm Resource Center, Inc.

  • Voluntary or Charitable Agency
  • Mound City, IL
National Provider Identifier
1124292990
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
FARM RESOURCE CENTER, INC.
Practice address
226 Main St
Mound City, IL 62963-1168
Phone
(618) 748-9623
Fax
(618) 748-9622
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Miss Roger William Hannan
Title
Executive Director
Phone
(618) 748-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

226 Main St
Mound City, IL 62963-1168

Mailing address

PO Box 87
226 Main St.
Mound City, IL 62963-0087
Phone (618) 748-9623

National Provider Directory

National Provider Directory

Locations

226 Main St
Mound City, IL 62963
Phone (618) 742-0005

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1124292990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "address_2": "226 MAIN ST.",
            "city": "MOUND CITY",
            "state": "IL",
            "postal_code": "629630087",
            "telephone_number": "618-748-9623",
            "fax_number": "618-748-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "MOUND CITY",
            "state": "IL",
            "postal_code": "629631168",
            "telephone_number": "618-748-9623",
            "fax_number": "618-748-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARM RESOURCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "HANNAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-748-9623",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mound City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.