Morrison Community Hospital District
Organization Active NPI Counselor · Morrison, IL
NPI 1881331981 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1881331981
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- MORRISON COMMUNITY HOSPITAL DISTRICT
- Practice address
- 657 W. Lincolnway
Morrison, IL 61270 - Phone
- (815) 772-5567
- NPI assigned
- May 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Pam Pfister
- Title
- Ceo
- Phone
- (815) 772-5530
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 5
Practitioners 47
-
Talha Ahmed, DO
-
Michelle Ann Blackmer, APRN
-
Suraj Bopanna, MD, MRCP
-
Steven Braasch, M.S.ED., LCPC
-
Ellie Bullis, ARNP
-
Donald Lee Clark III, FNP-BC
-
Elizabeth Foster, PA-C
-
Priyanka Gauravi, M.D.
-
Asad Jamal, M.D.
-
Katie Kasper, NP-C
-
Christina Lutz, LCPC
-
Faraz Manazir, M.D.
-
Mathew C Mathew, MD
-
Micah W McNeill, APRN, CNP
-
Marcella Alene Miner, DNP, APRN
-
Kraig A Mitchell, C.R.N.A.
-
Anand K Patel, M.D.
-
Catherine Marie Perino, APRN
-
Andrea Denise Powell, FNP
-
Soumiya Prakasam, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040301000685 | IL | Part B Supplier - Clinic/Group Practice | 2466349907 |
Receives reassigned benefits from 38 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dixon, IL; Moline, IL; Morrison, IL |
National Provider Directory
- Tax ID family
- Morrison Community Hospital District
Locations
2635 Lincoln Way
Ste B
Clinton, IA 52732
Phone (563) 242-3434
616 35th Ave
Ste 1
Moline, IL 61265
Phone (309) 517-3775
657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003
338 Washington St
Prophetstown, IL 61277
Phone (815) 537-5220
333 Chicago Ave
Savanna, IL 61074
Phone (815) 273-2422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes | ||
| Professional Counselor |
101YP2500X | |||
| Family Medicine Physician |
207Q00000X | |||
| Neurological Surgery Physician |
207T00000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
657 W. Lincolnway
Morrison, IL 61270
Mailing address
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-5533
Other practice location 1
841 N Galena Ave Ste 300
Dixon, IL 61021-1568
Phone (815) 772-7200
Other practice location 2
616 35th Ave Ste 1
Moline, IL 61265-6158
Phone (815) 772-4003
Other practice location 3
635 E Lincolnway
Morrison, IL 61270-2963
Phone (815) 772-7491
Other providers in Morrison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.