# FERRELL HOSPITAL COMMUNITY FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmi Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134650997
- **Authorized official:** CLIFFORD E MORRIS (DIRECTOR OF BOARD)
- **Authorized official phone:** (618) 273-3361

## Contact information

- **Practice address:** 1338A IL HIGHWAY 1, STE A, CARMI, IL 62821
- **Practice address phone:** (618) 380-9321
- **Practice address fax:** (618) 380-9322
- **Mailing address:** 1201 PINE ST, ELDORADO, IL 62930-1634
- **Mailing address phone:** (618) 273-3361
- **Mailing address fax:** (618) 273-2504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2017
- **Last updated:** 02/12/2024