Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1497861330 |
| LBN Legal business name | PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
| Authorized official | HARRY SCHMIDT - (PRESIDENT & CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 08/22/2006 |
| Last updated | 07/29/2022 - About 4 years ago |
| Identifiers | n/a |
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| PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION 1600 W WALNUT ST JACKSONVILLE, IL |
| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |