HARRISBURG FAMILY MEDICINE
NPI 1184202392
Clinic/Center - Rural Health in Harrisburg, IL

NPI Status: Active since March 30, 2021

Contact Information

716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946
Phone: (618) 294-8241
Fax: (618) 297-8212

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 14D2300148
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 03-04-2026

About HARRISBURG FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Harrisburg Family Medicine, a primary care provider established in Harrisburg, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1184202392 assigned on March 2021. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Harrisburg Family Medicine. The authorized official of this NPI record is Clifford E Morris (Director Of Board)

NPI
1184202392
Provider Legal Name
FERRELL HOSPITAL COMMUNITY FOUNDATION
Other Organization Name
HARRISBURG FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
716 S COMMERCIAL ST HARRISBURG, IL 62946
Location Phone
(618) 294-8241
Location Fax
(618) 297-8212
Mailing Address
1201 PINE ST ELDORADO, IL 62930
Mailing Phone
(618) 273-3361
Mailing Fax
(618) 297-8212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2021
Last Update Date
02-12-2024
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A primary care provider (PCP) like Harrisburg Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLIFFORD E MORRIS

Authorized Official Title
DIRECTOR OF BOARD
Authorized Official Phone
(618) 273-3361

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
14D2300148
Facility Type
Rural Health Clinic
Certificate Effective Date
March 05, 2024
Certificate Expiration Date
March 04, 2026
Laboratory Director
CLAYTON T. FORD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Harrisburg Family Medicine 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184202392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164404318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 4 + 0 + 4 + 3 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1184202392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Nurse Practitioner

716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946

(618) 918-6060

KALINDA JO DUNNING

Nurse Practitioner

716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946

(618) 918-6060

DR. CLAYTON T FORD MD

Family Medicine

716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946

(618) 273-3361

DR. JACOB STEWART MD

Family Medicine

716 S COMMERCIAL ST
HARRISBURG, IL
ZIP 62946

(618) 294-8241

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184202392, enumerated as an "organization" on March 30, 2021.

The provider is located at 716 S COMMERCIAL ST HARRISBURG, IL 62946 and the phone number is (618) 294-8241.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.