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Organization Active NPI

Freeport Regional Health Care Foundation

  • Family Medicine Physician
  • Freeport, IL
National Provider Identifier
1457337016
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Practice address
1036 W Stephenson St
Freeport, IL 61032-4865
Phone
(815) 599-6000
NPI assigned
Dec 15, 2005
Organization subpart
Yes
Parent organization
MERCY HEALTH CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Shannon Dunphy-Alexander
Title
Cfo
Phone
(608) 757-4126

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Radiation Oncology Clinic/Center 261QX0203X

Addresses

Primary practice location

1036 W Stephenson St
Freeport, IL 61032-4865

Mailing address

421 W Exchange St
PO Box 268
Freeport, IL 61032-4008
Phone (815) 599-7925

Other identifiers 1

IdentifierTypeStateIssuer
08923833OtherILBLUE CROSS

Other names 2

  • FHN Doing business as
  • Mercy Health Western Region Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000182 IL Part B Supplier - Clinic/Group Practice 9234041682 Receives reassigned benefits from 253 practitioners
Practice locations: Freeport, IL; Stockton, IL; Savanna, IL; Pecatonica, IL; Mount Carroll, IL; Lena, IL; Lanark, IL; Forreston, IL
O20260114002973 FL Part B Supplier - Clinic/Group Practice 9234041682 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory

Locations

1840 S West Ave
Freeport, IL 61032
Phone (815) 599-7780

750 Kiwanis Dr
Ste 100
Freeport, IL 61032

750 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-9233

1133 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7300

3001 Highland View Dr
Freeport, IL 61032
Phone (815) 235-3165

1842 S West Ave
#A
Freeport, IL 61032
Phone (815) 599-7880

50 W Douglas St
Freeport, IL 61032
Phone (815) 232-1161

421 W Exchange St
Ste 2
Freeport, IL 61032

50 W Douglas St
Ste 501
Freeport, IL 61032
Phone (815) 232-1161

1173 W Stephenson St
Freeport, IL 61032

1780 Rosenstiel Dr
Freeport, IL 61032
Phone (815) 297-0889

25 N Harlem Ave
Freeport, IL 61032
Phone (815) 599-7750

1842A S West Ave
Freeport, IL 61032
Phone (815) 599-7877

1842 S West Ave
Freeport, IL 61032
Phone (815) 599-7880

1255 W Empire St
Freeport, IL 61032
Phone (815) 232-1100

202 Main St
Savanna, IL 61074
Phone (815) 273-4737

105 W North Ave
Stockton, IL 61085
Phone (815) 947-3211

606 Tisdel Ave
Warren, IL 61087
Phone (815) 745-2038

Practitioners & affiliated clinicians

Practitioners 271

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

View all 271

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1457337016",
    "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": "610324008",
            "telephone_number": "815-599-7925",
            "fax_number": "815-599-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324865",
            "telephone_number": "815-599-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT REGIONAL HEALTH CARE FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH CORP",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "DUNPHY-ALEXANDER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-757-4126"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08923833",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FHN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Western Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.