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Contact Information

FREEPORT REGIONAL HEALTH CARE FOUNDATION
1036 W STEPHENSON ST
FREEPORT, IL61032-4865
 Phone: 815-599-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Oncology, Radiation

261QX0203X
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FREEPORT REGIONAL HEALTH CARE FOUNDATION

NPI # 1457337016
LBN Legal business name FREEPORT REGIONAL HEALTH CARE FOUNDATION
Authorized official MARK GRIDLEY - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2005
Last updated 07/17/2017 - About 9 years ago
Identifiers
IL Other 08923833 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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