PAVILION FOUNDATION NPI 1518930619

NPI Information

NPI: 1518930619
Provider Name: PAVILION FOUNDATION
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
809 W CHURCH ST
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 373-1700
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PAVILION FOUNDATION is a psychiatric hospital in Champaign, IL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PAVILION FOUNDATION NPI is 1518930619. The provider is registered as an organization entity type.

The provider's business location address is:

809 W CHURCH ST
CHAMPAIGN, IL
ZIP 61820-320
Phone: (217) 373-1700

The provider's authorized official is Steve Filton .
The authorized official title is Cfo/sr Vp and has the following contact phone number (610) 768-3300.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283Q00000X	Psychiatric Hospital		0004689	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	MEDICAID	ILLINOIS
2	144029	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
3	=========001	OTHER	ILLINOIS	CHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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