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Morrison Community Hospital District

Organization Active NPI Rural Health Clinic/Center · Erie, IL

NPI 1992497168 · NPPES record last updated May 25, 2023

Key facts

NPI
1992497168
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MORRISON COMMUNITY HOSPITAL DISTRICT
Practice address
530 12TH St
Erie, IL 61250-9461
Phone
(309) 659-2215
NPI assigned
May 24, 2023
Organization subpart
Yes
Parent organization (as reported)
MORRISON COMMUNITY HOSPITAL DISTRICT

Authorized official

Name
Pam Pfister
Title
Ceo
Phone
(815) 772-5530

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 40

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

View all 40

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
14D0884681Morrison Community Hospital - Erie Clinic
530 12TH Street, Erie, IL 61250		Certificate of waiverJul 9, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Rural health clinic certification: CCN 148657

Legal name
MORRISON COMMUNITY HOSPITAL DISTRICT
Doing business as
MORRISON COMMUNITY HOSPITAL ERIE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 30, 2023
Last certification
Nov 20, 2018
Ownership / control type
Non-profit – church related
Organization structure
Government · Non-profit
Enrollment address
530 12TH St
Erie, IL 61250-9461
Related CCNs
141329

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela J. Pfister
Individual 		W-2 Managing Employee
Chief Executive Officer		 Jun 30, 2023
Operational/Managerial Control
Chief Executive Officer		 Jun 30, 2023
Morrison Community Hospital District
Organization · Morrison, IL
Non-profit 		5% Or Greater Direct Ownership Interest Jun 30, 2023 100%
Cami L Megli
Individual 		W-2 Managing Employee
Cfo		 Jun 30, 2023
Operational/Managerial Control
Cfo		 Jun 30, 2023

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Morrison Community Hospital District
Morrison, IL · CCN 141329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital District
Morrison, IL · CCN 14Z329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Morrison Community Hospital District
Morrison, IL · CCN 143981		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Change-of-ownership history

DateEventCounterparty
Jun 30, 2023 Change of Ownership
This provider was the buyer		 Genesis Rural Health Center
CCN 148918 · IL · NPI 1023124831

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230724002453 IL Part a Provider - Rural Health Clinic 2466349907 Practice locations: Erie, IL

National Provider Directory

Tax ID family
Morrison Community Hospital District (6 organizations share this tax ID)
Part of
Morrison Community Hospital District

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

530 12TH St
Erie, IL 61250-9461

Mailing address

303 N Jackson St
Morrison, IL 61270-3042

Other names

  • Morrison Community Hospital Erie Clinic Doing business as

Other providers in Erie, IL

All providers in Erie, IL · Rural Health Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.