NPIMap

Organization Active NPI

Freeport Regional Health Care Foundation

Doing business as FHN Family Healthcare Center Mt Carroll

  • Durable Medical Equipment & Medical Supplies
  • Mount Carroll, IL
National Provider Identifier
1972647329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Doing business as
FHN Family Healthcare Center Mt Carroll
Practice address
1120 Healthcare Dr
Mount Carroll, IL 61053-1461
Phone
(815) 244-4181
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Perry, MDNPI 1972579175
Title
Ceo President
Phone
(815) 599-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1120 Healthcare Dr
Mount Carroll, IL 61053-1461

Mailing address

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

Other names 1

  • FHN Family Healthcare Center Mt Carroll Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0901434FHN Family Healthcare Center-Mt Carroll1120 Healthcare Drive, Mount Carroll, IL 61053Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972647329",
    "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": "610324030",
            "telephone_number": "815-599-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HEALTHCARE DR",
            "city": "MOUNT CARROLL",
            "state": "IL",
            "postal_code": "610531461",
            "telephone_number": "815-244-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT REGIONAL HEALTH CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "815-599-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHN Family Healthcare Center Mt Carroll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Carroll, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.