Organization
FREEPORT MEMORIAL HOSPITAL
Active
Other names
FHN Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SIMON GRIDLEY (PRESIDENT/ CEO)
(815) 599-6402
Entity
Organization
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
Mailing address
773 W LINCOLN ST STE 403, PO BOX 857, FREEPORT, IL 61032-4980
(851) 599-7240
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
09/27/2022
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