NPIMap

Organization Active NPI

Morrison Community Hospital District

  • Family Medicine Physician
  • Morrison, IL
National Provider Identifier
1700907250
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Pam Pfister
Title
Ceo
Phone
(812) 772-5530

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Critical Access Hospital 282NC0060X 0001636 IL
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000685 IL Part B Supplier - Clinic/Group Practice 2466349907 Receives reassigned benefits from 38 practitioners
3 other NPIs on this enrollment
Practice locations: Dixon, IL; Moline, IL; Morrison, IL

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Morrison Community Hospital DistrictMorrison, IL, CCN 141329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital DistrictMorrison, IL, CCN 14Z329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital DistrictMorrison, IL, CCN 143981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital Erie ClinicErie, IL, CCN 148657 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2023

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1700907250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-5530",
            "fax_number": "815-772-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-5530",
            "fax_number": "815-772-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-772-5530"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0001636",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, IL

Sources for this page

Verify at the official NPI Registry.