MORRIS HOSPITAL
Complete NPI Record 1376658658
Clinic/Center - Health Service in Morris, IL
Active since August 20, 2006CLIA Certified · 4 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Morris Hospital (NPI 1376658658), a clinic/center organization in Morris, IL. All 35 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1376658658 Field 1/35
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/35
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/35
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: MORRIS HOSPITAL Field 4/35
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/35
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/35
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 725 SCHOOL ST STE A Field 7/35
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: MORRIS Field 8/35
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: IL Field 9/35
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 604501207 Field 10/35
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/35
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8159419124 Field 12/35
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8159419128 Field 13/35
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1345 EDWARDS ST STE 1 Field 14/35
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MORRIS Field 15/35
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: IL Field 16/35
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 60450 Field 17/35
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/35
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8159429299 Field 19/35
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8159416431 Field 20/35
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: LAWRENCE Field 23/35
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: MICHAEL Field 24/35
- The first name of the authorized official.
- Authorized Official Middle Name: ALLEN Field 25/35
- The middle name of the authorized official.
- Authorized Official Title or Position: CHIEF FINANCIAL OFFICER Field 26/35
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8157051430 Field 27/35
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM1300X Field 28/35
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 29/35
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 261QH0100X Field 30/35
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 31/35
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 32/35
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: MORRIS HOSPITAL Field 33/35
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 34/35
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Morris Hospital & Healthcare Centers Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 27
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
27240 W Saxony Dr Ste 203
Location 1/27Channahon, IL 60410-1417 · Phone (815) 705-1000 · Fax (815) 705-2709
1051 W US Route 6
Location 2/27Morris, IL 60450-4200 · Phone (815) 942-4875 · Fax (815) 942-5046
1306 Gemini Cir Ste 2
Location 3/27Ottawa, IL 61350-1695 · Phone (154) 330-8508 · Fax (815) 433-3655
2200 W. Dupont Avenue
Location 4/27Morris, IL 60450 · Phone (815) 705-7837
1600 W US Route 6 Ste B
Location 5/27Morris, IL 60450-8854 · Phone (815) 364-8927
1450 E Division St
Location 6/27Diamond, IL 60416-6050 · Phone (815) 634-3500 · Fax (815) 705-1718
27240 W Saxony Dr Ste 202
Location 7/27Channahon, IL 60410-1417 · Phone (815) 521-4600 · Fax (815) 467-9460
27240 W Saxony Dr Ste 201
Location 8/27Channahon, IL 60410-1417 · Phone (815) 467-1518 · Fax (815) 467-7419
101 S Prairie Ave
Location 9/27Dwight, IL 60420-1350 · Phone (815) 584-3291 · Fax (815) 584-3475
151 W High St Lowr Level
Location 10/27Morris, IL 60450-1407 · Phone (815) 705-1000 · Fax (815) 705-2709
580 Sycamore St
Location 11/27Marseilles, IL 61341-1366 · Phone (815) 795-2122 · Fax (815) 795-3507
100 Gore Rd
Location 12/27Morris, IL 60450-9466 · Phone (815) 942-0545
948 W US Route 6
Location 13/27Morris, IL 60450-8858 · Phone (815) 942-5474 · Fax (815) 942-5498
5 N Johnson St
Location 14/27Newark, IL 60541-0002 · Phone (815) 695-5042 · Fax (815) 695-9483
1300 Starfire Dr
Location 15/27Ottawa, IL 61350-1624 · Phone (815) 324-9700 · Fax (815) 324-9499
522 Depot St
Location 16/27Mazon, IL 60444-3706 · Phone (815) 448-2423 · Fax (815) 448-2033
603 W Mondamin St
Location 17/27Minooka, IL 60447-9057 · Phone (815) 521-1010 · Fax (815) 521-1826
151 W High St Uppr Level
Location 18/27Morris, IL 60450-1407 · Phone (815) 702-3300
1802 N Division St Ste 703
Location 19/27Morris, IL 60450-3104 · Phone (815) 941-8000 · Fax (815) 705-1712
1345 Edwards St Ste 2
Location 20/27Morris, IL 60450-1692 · Phone (815) 942-1421 · Fax (815) 488-2033
425 E US Route 6
Location 21/27Morris, IL 60450-9042 · Phone (815) 942-8080 · Fax (815) 941-4105
1306 Gemini Cir Ste 1
Location 22/27Ottawa, IL 61350-1695 · Phone (815) 433-9200 · Fax (815) 705-1716
271 N Main St
Location 23/27Seneca, IL 61360-9323 · Phone (815) 357-8511 · Fax (815) 357-1238
1499 Lakewood Dr Ste H
Location 24/27Morris, IL 60450-1711 · Phone (815) 941-7533 · Fax (815) 941-6876
237 W Waverly St
Location 25/27Morris, IL 60450-1334 · Phone (815) 941-0441 · Fax (815) 941-0472
1499 Lakewood Dr Unit I
Location 26/27Morris, IL 60450-1709 · Phone (815) 942-4506 · Fax (815) 744-6729
409 N Route 53
Location 27/27Gardner, IL 60424 · Phone (815) 237-0413 · Fax (815) 237-0514
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