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Freeport Regional Health Care Foundation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Lanark, IL

NPI 1376687632 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1376687632
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Practice address
602 W Olympic Dr
Lanark, IL 61046-9105
Phone
(815) 493-2831
NPI assigned
Feb 19, 2007
Organization subpart
No

Authorized official

Name
Dr. Michael Perry, MD
Title
Ceo President
Phone
(815) 599-6000

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0691992FHN Family Healthcare Center - Lanark
602 West Olympic Drive, Lanark, IL 61046		Certificate of waiverDec 15, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

602 W Olympic Dr
Lanark, IL 61046-9105

Mailing address

421 W Exchange St
PO Box 268
Freeport, IL 61032-4030
Phone (815) 599-7958

Other names

  • FHN Family Healthcare Center Lanark Doing business as

Other providers in Lanark, IL

All providers in Lanark, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.