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Morrison Community Hospital District

Organization Active NPI Rural Health Clinic/Center · Morrison, IL

NPI 1174644629 · NPPES record last updated Dec 19, 2024

Key facts

NPI
1174644629
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MORRISON COMMUNITY HOSPITAL DISTRICT
Practice address
303 N Jackson St
Morrison, IL 61270-3042
Phone
(815) 772-5530
Fax
(815) 772-7391
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

Name
Pamela J Pfister
Title
Ceo
Phone
(815) 772-5530

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 5

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Rural health clinic certification: CCN 143981

Legal name
MORRISON COMMUNITY HOSPITAL DISTRICT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 10, 1994
Last certification
Mar 8, 2019
Ownership / control type
2A
Organization structure
Government · Non-profit
Enrollment address
303N Jackson St
Morrison, IL 61270-3042
Related CCNs
141329

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul Besick
Individual 		Operational/Managerial Control
Board of Directors		 Jul 1, 1998
Jennifer Black
Individual 		Operational/Managerial Control
Treasurer-Board of Directors		 Sep 1, 2013
Pamela J. Pfister
Individual 		W-2 Managing Employee
Ceo		 Nov 25, 2002
Operational/Managerial Control
Ceo		 Mar 1, 2013
Morrison Community Hospital District
Organization · Morrison, IL
Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Barb Kophamer
Individual 		Operational/Managerial Control
Vice Chairman-Board of Directors		 Sep 1, 2013
Don Beswick
Individual 		Operational/Managerial Control
Chairman-Board of Directors		 Sep 1, 2013
Betty Steinert
Individual 		Operational/Managerial Control
Board of Directors		 Sep 1, 2013
Mark Schuler
Individual 		Operational/Managerial Control
Board of Directors		 Sep 1, 2013
Gary Giibbs
Individual 		Operational/Managerial Control
Board of Directors		 Sep 1, 2013
Amanda Cook
Individual 		Operational/Managerial Control
Board of Directors		 Jun 30, 2022
George Chamberlain
Individual 		Operational/Managerial Control
Board of Directors		 Jun 30, 2022
Cami L Megli
Individual 		W-2 Managing Employee
Cfo		 Feb 2, 2009

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morrison Community Hospital District
Morrison, IL · CCN 141329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital District
Morrison, IL · CCN 14Z329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital Erie Clinic
Erie, IL · CCN 148657		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080714000685 IL Part a Provider - Rural Health Clinic 2466349907 Practice locations: Morrison, IL

National Provider Directory

Tax ID family
Morrison Community Hospital District (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes
Critical Access Hospital 282NC0060X 0001636 IL

Addresses

Primary practice location

303 N Jackson St
Morrison, IL 61270-3042

Mailing address

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-5530

Other providers in Morrison, IL

All providers in Morrison, IL · Rural Health Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.