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FHN FAMILY HEALTHCARE CENTER LENA
NPI 1174667430
Durable Medical Equipment & Medical Supplies in Lena, IL

Active since February 19, 2007CLIA 14D0429730 · Waiver

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fhn Family Healthcare Center Lena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FHN FAMILY HEALTHCARE CENTER LENA (NPI 1174667430) is a healthcare organization registered as a durable medical equipment & medical supplies in Lena, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Mark S Gridley, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174667430
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFREEPORT REGIONAL HEALTH CARE FOUNDATION
Location Address160 W MAIN STLena, IL 61048-9247
Mailing Address421 W Exchange St, Po Box 268Freeport, IL 61032-4030 · (815) 599-7958
Phone(815) 369-3300
Organization SubpartNo
Authorized OfficialMark S GridleyPresident/ceo · (815) 599-6000
Enumeration DateFebruary 19, 2007
Last NPPES UpdateApril 26, 2017
✔ NPI 1174667430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
160 W MAIN ST, Lena, IL 61048
Open in Google Maps ↗

Other Names 1

Doing Business AsFhn Family Healthcare Center Lena

Other Identifiers 4

Medicare ID-Type Unspecified582630IL · Group
Medicare ID-Type Unspecified207602IL · Group
Medicare NSC1312400003IL
Medicare ID-Type Unspecified433440IL · Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0429730

Fhn-Family Healthcare Center-Lena · Lena, IL
Active · expires Feb 19, 2028
CLIA Number14D0429730
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorRon Olsen
Laboratory Phone(815) 369-3300
Laboratory LocationFhn-Family Healthcare Center-Lena160 W Main, Lena, IL 61048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Freeport Regional Health Care Found carries, from the Medicare DMEPOS supplier directory.

Freeport Regional Health Care Found

DMEPOS supplier · Lena, ILOperated by Freeport Regional Health Care Foundation
✔

Accepts Medicare assignment

Freeport Regional Health Care Found agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20636459
Medicare Participant SinceMarch 2, 1998
Supplier Location160 W Main StreetLena, IL 61048
Phone(815) 369-3300
Provider TypePhysician Assistant · Nurse Practitioner · Physician – Family Practice

Medicare Product Categories

Automatic Ext Defibrillator (AEDS) and/or Supplies
Home defibrillators, Wearable defibrillators, Replacement batteries, Replacement electrodes
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Oxygen Equipment and/or Supplies
Portable oxygen systems, Oxygen concentrators, Oxygen contents
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOKRY TAWFIK MD
Family Medicine
160 W MAIN ST
LENA, IL 61048
Stephenson County (815) 369-3300
MICHELLE A DUNKER PT
Physical Medicine & Rehabilitation
160 W MAIN ST
LENA, IL 61048
Stephenson County (815) 369-3300
TERI A WILLIAMS PT
Physical Therapist
160 W MAIN ST
LENA, IL 61048
Stephenson County (815) 369-3300
AMANDA J VEEDER DNP
Nurse Practitioner (Family)
160 W MAIN ST
LENA, IL 61048
Stephenson County (815) 369-3300
LYNDA A BORSDORF CNP
Nurse Practitioner (Family)
160 W MAIN ST
LENA, IL 61048
Stephenson County (815) 369-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freeport Regional Health Care Foundation's NPI number?

The NPI number for Freeport Regional Health Care Foundation is 1174667430. It was assigned to this organization in the NPPES registry on February 19, 2007. The provider is doing business as Fhn Family Healthcare Center Lena.

Where is Freeport Regional Health Care Foundation located?

Freeport Regional Health Care Foundation is located at 160 W Main St, Lena, IL 61048. The listed phone number is (815) 369-3300.

What is Freeport Regional Health Care Foundation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Freeport Regional Health Care Foundation accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Freeport Regional Health Care Found accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Freeport Regional Health Care Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0429730) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Freeport Regional Health Care Foundation was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.