# FERRELL HOSPITAL COMMUNITY FOUNDATION

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

## Provider details

- **NPI number:** 1689217820
- **Authorized official:** VICKIE LINDSTROM RN BSN (CLINIC PRACTICE MANAGER)
- **Authorized official phone:** (618) 643-2855

## Contact information

- **Practice address:** 206 S WASHINGTON STREET, MC LEANSBORO, IL 62859-1139
- **Practice address phone:** (618) 643-2835
- **Practice address fax:** (618) 643-2891
- **Mailing address:** 1201 PINE ST, ELDORADO, IL 62930-1634
- **Mailing address phone:** (618) 273-3361
- **Mailing address fax:** (618) 273-2571

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2019
- **Last updated:** 05/22/2025