FERRELL HOSPITAL COMMUNITY FOUNDATION
NPI 1124905351
Clinic/Center - Multi-Specialty in Harrisburg, IL
NPI Status: Active since August 19, 2025
Contact Information
HARRISBURG SMALL STREET CLINIC
250 SMALL STREET
HARRISBURG, IL
ZIP 62946
Phone: (618) 294-8264
Fax: (618) 294-8265
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 14D2328882
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-18-2027
About FERRELL HOSPITAL COMMUNITY FOUNDATION
This page provides the complete NPI Profile along with additional information for Ferrell Hospital Community Foundation, a provider established in Harrisburg, Illinois operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1124905351 assigned on August 2025. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Ferrell Hospital Community Foundation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Clifford E Morris (Director Of Board)
- NPI
- 1124905351
- Provider Name
- FERRELL HOSPITAL COMMUNITY FOUNDATION
- Entity Type
- Organization
- Location Address
- HARRISBURG SMALL STREET CLINIC 250 SMALL STREET HARRISBURG, IL 62946
- Location Phone
- (618) 294-8264
- Location Fax
- (618) 294-8265
- Mailing Address
- 1201 PINE ST ELDORADO, IL 62930
- Mailing Phone
- (618) 273-3361
- Mailing Fax
- (618) 294-8265
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-19-2025
- Last Update Date
- 10-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | |
| 10 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 11 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 12 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 14 | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2328882
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2025
- Certificate Expiration Date
- August 18, 2027
- Laboratory Director
- CLAYTON T. FORD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ferrell Hospital Community Foundation in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124905351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124905351, enumerated as an "organization" on August 19, 2025.
The provider is located at HARRISBURG SMALL STREET CLINIC 250 SMALL STREET HARRISBURG, IL 62946 and the phone number is (618) 294-8264.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
