Organization · Type 2 NPI

Passavant Memorial Area Hospital Association

Multi-Specialty Clinic/Center · Jacksonville, IL

NPI number 1235864810 Active

Practice location

1600 W Walnut St
Jacksonville, IL 62650-1136

Call (217) 245-9541 Map

Mailing address

PO Box 3428
Springfield, IL 62708-3428

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Hospitalist Physician 208M00000XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

83 other providers at this address

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About NPI 1235864810

Passavant Memorial Area Hospital Association's National Provider Identifier is 1235864810, issued on Jul 19, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jacksonville, IL. The record was last updated on Jan 9, 2024.