Provider Demographics
NPI:1407463649
Name:MORRISON COMMUNITY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MORRISON COMMUNITY HOSPITAL DISTRICT
Other - Org Name:MORRISON COMMUNITY HOSPITAL SPECIALIST CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PFISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-772-5530
Mailing Address - Street 1:303 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:IL
Mailing Address - Zip Code:61270-3042
Mailing Address - Country:US
Mailing Address - Phone:815-772-4003
Mailing Address - Fax:815-772-5599
Practice Address - Street 1:4622 PROGRESS DR STE C
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3426
Practice Address - Country:US
Practice Address - Phone:815-772-5505
Practice Address - Fax:815-772-5591
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRISON COMMUNITY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-30
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811191299OtherBCBSIL
1619957180OtherPHYSICIAN NPI
1982675542OtherPHYSICIAN NPI
IA1174644629Medicaid
1831708288OtherNURSE PRACTITIONER NPI