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MORRISON COMMUNITY HOSPITAL SPECIALIST CLINIC
NPI 1407463649
Clinic/Center - Multi-Specialty in Davenport, IA

Active since September 30, 2020CLIA 14D2308840 · Waiver
4622 PROGRESS DR STE C, DAVENPORT, IA 52807(815) 772-5505(815) 772-5591 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 11, 2022, Sep 30, 2020 (2 updates tracked since 2020).

About Morrison Community Hospital Specialist Clinic NPPES

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

MORRISON COMMUNITY HOSPITAL SPECIALIST CLINIC (NPI 1407463649) is a healthcare organization registered as a multi-specialty in Davenport, Iowa and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 4, 2028, maintains a secondary practice location in Clinton, and lists Pam Pfister, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407463649
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMORRISON COMMUNITY HOSPITAL DISTRICT
Location Address4622 PROGRESS DR STE CDavenport, IA 52807-3426
Mailing Address303 N Jackson StMorrison, IL 61270-3042 · (815) 772-4003 · Fax (815) 772-5599
Phone(815) 772-5505
Fax(815) 772-5591
Organization SubpartYes
Authorized OfficialPam PfisterCeo · (815) 772-5530
Enumeration DateSeptember 30, 2020
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1407463649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4622 PROGRESS DR STE C, Davenport, IA 52807
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Other Names 1

Doing Business AsMorrison Community Hospital Specialist Clinic

Secondary Practice Location 1

Location 12635 Lincoln Way Ste BClinton, IA 52732-7229 · Phone (815) 772-5511

Other Identifiers 5

Medicaid1174644629IA
Other1619957180Physician Npi
Other1811191299Bcbsil
Other1982675542Physician Npi
Other1831708288Nurse Practitioner Npi

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 14D2308840

Morrison Community Hospital - Family Clinic · Morrison, IL
Active · expires Aug 4, 2028
CLIA Number14D2308840
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorGueorguiev D. Gueorguiev
Laboratory Phone(815) 772-5511
Laboratory LocationMorrison Community Hospital - Family Clinic303 N Jackson, Morrison, IL 61270
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Morrison Community Hospital District's NPI number?

The NPI number for Morrison Community Hospital District is 1407463649. It was assigned to this organization in the NPPES registry on September 30, 2020. The provider is doing business as Morrison Community Hospital Specialist Clinic.

Where is Morrison Community Hospital District located?

Morrison Community Hospital District is located at 4622 Progress Dr Ste C, Davenport, IA 52807. The listed phone number is (815) 772-5505.

What is Morrison Community Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Morrison Community Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2308840) is associated with this NPI, valid through August 4, 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 Morrison Community Hospital District was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.