FHN FAMILY HEALTHCARE CENTER MT CARROLL
NPI 1972647329
Durable Medical Equipment & Medical Supplies in Mount Carroll, IL

Active since February 19, 2007CLIA 14D0901434 · Waiver
1120 HEALTHCARE DR, MOUNT CARROLL, IL 61053(815) 244-4181 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fhn Family Healthcare Center Mt Carroll NPPES

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

FHN FAMILY HEALTHCARE CENTER MT CARROLL (NPI 1972647329) is a healthcare organization registered as a durable medical equipment & medical supplies in Mount Carroll, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Michael Perry, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1972647329
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFREEPORT REGIONAL HEALTH CARE FOUNDATION
Location Address1120 HEALTHCARE DRMount Carroll, IL 61053-1461
Mailing Address421 W Exchange St, Po Box 268Freeport, IL 61032-4030 · (815) 599-7958
Organization SubpartNo
Authorized OfficialMichael PerryCeo President · (815) 599-6000
Enumeration DateFebruary 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1972647329 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.

1120 HEALTHCARE DR, Mount Carroll, IL 61053

Other Names 1

Doing Business AsFhn Family Healthcare Center Mt Carroll

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 14D0901434

Fhn Family Healthcare Center-Mt Carroll · Mount Carroll, IL
Active · expires May 8, 2028
CLIA Number14D0901434
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorRon Olsen
Laboratory Phone(815) 244-4181
Laboratory LocationFhn Family Healthcare Center-Mt Carroll1120 Healthcare Drive, Mount Carroll, IL 61053
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Occupational Therapist
1120 HEALTHCARE DR
MOUNT CARROLL, IL 61053
Nurse Practitioner (Family)
1120 HEALTHCARE DR
MOUNT CARROLL, IL 61053
Physical Therapist
1120 HEALTHCARE DR
MOUNT CARROLL, IL 61053
Occupational Therapist
1120 HEALTHCARE DR
MOUNT CARROLL, IL 61053
Physical Therapist
1120 HEALTHCARE DR
MOUNT CARROLL, IL 61053

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 1972647329. It was assigned to this organization in the NPPES registry on February 19, 2007. The provider is doing business as Fhn Family Healthcare Center Mt Carroll.

Where is Freeport Regional Health Care Foundation located?

Freeport Regional Health Care Foundation is located at 1120 Healthcare Dr, Mount Carroll, IL 61053. The listed phone number is (815) 244-4181.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0901434) is associated with this NPI, valid through May 8, 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 August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.