Organization
FREEPORT MEMORIAL HOSPITAL
Active
Other names
FHN Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GRIDLEY (CEO PRESIDENT)
(815) 599-6000
Entity
Organization
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
Mailing address
421 W EXCHANGE ST, PO BOX 857, FREEPORT, IL 61032-4030
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000778
IL
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
02/20/2007
Last updated
06/11/2024
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