ELDORADO FAMILY MEDICINE CLINIC
NPI 1700011046
Clinic/Center - Rural Health in Eldorado, IL

Active since May 15, 2009CLIA 14D1024230 · Waiver
1300 US HIGHWAY 45 N, ELDORADO, IL 62930(618) 297-9660(618) 273-2110 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2020, Feb 18, 2019 (2 updates tracked since 2019).

About Eldorado Family Medicine Clinic NPPES

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

ELDORADO FAMILY MEDICINE CLINIC (NPI 1700011046) is a healthcare organization registered as a rural health in Eldorado, Illinois and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Clifford E Morris, Board Chairman, as its authorized official.

NPPES Registry Identity

NPI1700011046
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFERRELL HOSPITAL COMMUNITY FOUNDATION
Location Address1300 US HIGHWAY 45 NEldorado, IL 62930-3765
Mailing Address1300 Us Highway 45 NEldorado, IL 62930-3765 · (618) 297-9660 · Fax (618) 273-2110
Fax(618) 273-2110
Organization SubpartNo
Authorized OfficialClifford E MorrisBoard Chairman · (618) 273-3361
Enumeration DateMay 15, 2009
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1700011046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1300 US HIGHWAY 45 N, Eldorado, IL 62930

Other Names 1

Doing Business AsEldorado Family Medicine Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eldorado Family Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Eldorado Family Medicine Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner21
Family Practice10
Certified Registered Nurse Anesthetist (CRNA)6
Otolaryngology5
Interventional Cardiology4
Clinical Social Worker3
General Surgery3
Orthopedic Surgery3
14 other specialties19

Nearest to this location (20)

See all 74
Nurse Practitioner
NPI 1962174409
1412 US HIGHWAY 45 N
Eldorado, IL 62930
(618) 273-3326
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1346954526
1412 US HIGHWAY 45 N
Eldorado, IL 62930
(618) 273-3326
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912269903
1300 US HIGHWAY 45 N
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1154691319
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1417150376
1407 LOCUST ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1063885101
1407 LOCUST ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1194207258
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-9665
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1760864987
1306 MAPLE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1346711553
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1609329358
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1811614720
1306 MAPLE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1740510858
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1962028407
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1033651559
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1508056953
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.2 mi
Podiatry
NPI 1114948544
1201 PINE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1467292482
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1780883843
1201 PINE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare1.2 mi
General Surgery
NPI 1154309292
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1225388739
1408 GRANT ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare1.2 mi
See all 74 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D1024230

Eldorado Family Medicine · Eldorado, IL
Active · expires Dec 22, 2026
CLIA Number14D1024230
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorJoseph A. Jackson
Laboratory Phone(618) 273-3361
Laboratory LocationEldorado Family Medicine1300 U S Highway 45N, Eldorado, IL 62930
CLIA data matches this NPI record on: Name 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 Ferrell Hospital Community Foundation's NPI number?

The NPI number for Ferrell Hospital Community Foundation is 1700011046. It was assigned to this organization in the NPPES registry on May 15, 2009. The provider is doing business as Eldorado Family Medicine Clinic.

Where is Ferrell Hospital Community Foundation located?

Ferrell Hospital Community Foundation is located at 1300 Us Highway 45 N, Eldorado, IL 62930. The listed phone number is (618) 297-9660.

What is Ferrell Hospital Community Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Ferrell Hospital Community Foundation enrolled in Medicare?

Yes. Ferrell Hospital Community Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ferrell Hospital Community Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 22 Medicare specialties reassign their Medicare billing to Ferrell Hospital Community Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Family Practice (10) and Certified Registered Nurse Anesthetist (CRNA) (6). Of these, 2 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ferrell Hospital Community Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1024230) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ferrell Hospital Community Foundation accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ferrell Hospital Community Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ferrell Hospital Community Foundation was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.