Provider Type Icon

PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION NPI 1689780520


NPI Information

NPI: 1689780520
Provider Name: PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION

Doing Business As: PASSAVANT AREA HOSPITAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0044875

Address:
1600 W WALNUT ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-9541
Get Directions

PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION is a family medicine in Jacksonville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION NPI is 1689780520. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Passavant Area Hospital.

The provider's business location address is:

1600 W WALNUT ST
JACKSONVILLE, IL
ZIP 62650-136
Phone: (217) 245-9541
Fax: (217) 479-8781

The provider's authorized official is Harry M Schmidt .
The authorized official title is President And Ceo and has the following contact phone number (217) 245-9541.

The CLIA number assigned to this NPI record is 14D0044875 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/21/2022.


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
1133V00000XDietitian, RegisteredILLINOISNo
2208600000XSurgeryILLINOISNo
3363L00000XNurse PractitionerILLINOISNo
4367500000XNurse Anesthetist, Certified RegisteredILLINOISNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207Q00000XFamily MedicineYes
71041C0700XSocial WorkerClinicalNo
8225100000XPhysical TherapistNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.