Organization · Type 2 NPI

Passavant Memorial Area Hospital Association

Family Medicine Physician · Jacksonville, IL

NPI number 1689780520 Active

Practice location

1600 W Walnut St
Jacksonville, IL 62650-1136

Fax (217) 479-8781

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Registered Dietitian	133V00000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Surgery Physician	208600000X	None listed
Physical Therapist	225100000X	None listed
Nurse Practitioner	363L00000X	None listed
Certified Registered Nurse Anesthetist	367500000X	None listed

Family Medicine Physician: 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.

83 other providers at this address

Other family medicine physician providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1689780520
Entity type: Organization (Type 2)
Issued: Aug 22, 2006
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Memorial Health System

Other names

<unavail>
Passavant Area Hospital · doing business as

Authorized official

Mr. Harry M Schmidt
President and CEO
(217) 245-9541

Verify this record

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.

Is this your record? How to update it.

About NPI 1689780520

Passavant Memorial Area Hospital Association's National Provider Identifier is 1689780520, issued on Aug 22, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jacksonville, IL. The record was last updated on Jul 21, 2022.