Organization
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Active
Other names
FHN-Family Healthcare Center Burchard
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S GRIDLEY (CEO/PRESIDENT)
(815) 599-6000
Entity
Organization
Contact information
Practice address
1010 W FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7421
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4008
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
10/22/2008
Last updated
05/03/2017
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