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Ferrell Hospital Community Foundation

Organization Active NPI Critical Access Hospital · Eldorado, IL

NPI 1194713404 · NPPES record last updated Feb 12, 2024

Key facts

NPI
1194713404
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
FERRELL HOSPITAL COMMUNITY FOUNDATION
Practice address
1201 Pine Street
Eldorado, IL 62930
Phone
(618) 273-3361
Fax
(618) 273-5501
NPI assigned
Oct 11, 2005
Organization subpart
No

Authorized official

Name
Clifford E Morris
Title
Director of Board
Phone
(618) 273-3361

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

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

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

Facilities with the same owner 35

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

View all 35

Practitioners 77

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

View all 77

Affiliated clinicians 236

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 236

Medicare Care Compare: Hospital

Listed as
Ferrell Hospital Community Foundations CCN 141324
Overall star rating
★☆☆☆☆ 1 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL

Hospital certification: CCN 141324

Legal name
FERRELL HOSPITAL COMMUNITY FOUNDATION
Doing business as
FERRELL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2003
Last certification
Jan 29, 2020
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Mar 31, 2004 in IL
Enrollment address
1201 Pine St
Eldorado, IL 62930-1634
Other Hospital Practice Location

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Rachael Prather
Individual 		W-2 Managing Employee
Chief Nursing Officer		 Mar 26, 2015 5%
Ayn Bartok
Individual 		Corporate Director
Director		 Apr 1, 2018
E. T. Seely
Individual 		Corporate Director
Board Member		 Sep 23, 2009
Jeffrey R Campbell
Individual 		Corporate Director
Director		 Jan 1, 2019
Barb Devous
Individual 		Corporate Director
Board Member		 Oct 17, 2013
Austin Rahmoeller
Individual 		Corporate Director
Director		 Jun 1, 2019
Clifford E Morris
Individual 		Corporate Director
Chairman of the Board		 Jan 28, 2014
Deaconess Health System Inc
Organization · Evansville, IN
Corporation, Non-profit 		Operational/Managerial Control Feb 25, 2016 20%
Nathan Oldham
Individual 		Corporate Director Jul 1, 2013
Deaconess Regional Healthcare Network Illinois LLC
Organization · Evansville, IN
LLC 		Operational/Managerial Control Feb 25, 2016 20%
Jodie a Smith
Individual 		W-2 Managing Employee
PFS Director		 Jan 28, 2014
Deaconess Regional Healthcare Services Illinois Inc
Organization · Evansville, IN
Corporation, Non-profit 		Operational/Managerial Control Feb 25, 2016 100%
James Porter
Individual 		Corporate Director
Board Member		 Feb 25, 2016 10%

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ferrell Hospital
Eldorado, IL · CCN 14Z324		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2005
Eldorado Family Medicine Clinic
Eldorado, IL · CCN 148507		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2005

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000493 IL Part a Provider - Critical Access Hospital 1355389453 Receives reassigned benefits from 3 practitioners
5 other NPIs on this enrollment
Practice locations: MC Leansboro, IL; Harrisburg, IL; Eldorado, IL; Carmi, IL
O20090630000256 IL Part B Supplier - Clinic/Group Practice 1355389453 Receives reassigned benefits from 74 practitioners
11 other NPIs on this enrollment
Practice locations: Harrisburg, IL; MC Leansboro, IL; Eldorado, IL; Carmi, IL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X IL
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

1201 Pine Street
Eldorado, IL 62930

Mailing address

1201 Pine Street
Eldorado, IL 62930
Phone (618) 273-3361

Other providers in Eldorado, IL

All providers in Eldorado, IL · Critical Access Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.