Organization
FERRELL HOSPITAL COMMUNITY FOUNDATION
Active
Parent organization
FERRELL HOSPITAL COMMUNITY FOUNDATION
Other names
Harrisburg Small Street Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FERRELL HOSPITAL COMMUNITY FOUNDATION
Authorized official
CLIFFORD E MORRIS (DIRECTOR OF BOARD)
(618) 273-3361
Entity
Organization
Contact information
Practice address
HARRISBURG SMALL STREET CLINIC, 250 SMALL STREET, HARRISBURG, IL 62946-3319
(618) 294-8264
(618) 294-8265
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
(618) 273-2504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
213E00000X
Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
08/19/2025
Last updated
10/16/2025
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