Organization
FREEPORT REGIONAL HEALTH CARE FOUNDATION
Active
Other names
FHN Family Healthcare Center Lena
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S GRIDLEY (PRESIDENT/CEO)
(815) 599-6000
Entity
Organization
Contact information
Practice address
160 W MAIN ST, LENA, IL 61048-9247
(815) 369-3300
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
04/26/2017
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