Organization · Type 2 NPI

Passavant Memorial Area Hospital Association

Psychiatric Hospital Unit · Jacksonville, IL

NPI number 1366813404 Active

Practice location

1600 W Walnut St
Jacksonville, IL 62650-1136

Fax (217) 479-8781

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Unit Primary	273R00000X	None listed

Psychiatric Hospital Unit: In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent perso…

83 other providers at this address

NPI record

NPI: 1366813404
Entity type: Organization (Type 2)
Issued: Oct 15, 2015
Last updated: Jul 29, 2022
Status: Active
Subpart: Yes of Memorial Health Systems

Other names

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Passavant Area Hospital Ipu · doing business as
Passavant Area Hospital Ipu · doing business as

Authorized official

Paul Eddington
CFO
(217) 479-5898

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366813404

Passavant Memorial Area Hospital Association's National Provider Identifier is 1366813404, issued on Oct 15, 2015. The primary taxonomy on file is Psychiatric Hospital Unit (273R00000X), and the practice location is in Jacksonville, IL. The record was last updated on Jul 29, 2022.