National Provider Identifier Database

PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Critical Access


Contact Information

PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
1600 W WALNUT ST
JACKSONVILLE, IL62650
Phone: 217-245-9541
Fax: 217-479-8781
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION

NPI Number 1174580831
Legal business name
LBN
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Authorized official PAUL EDDINGTON - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 04/27/2006
Last updated 11/08/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 0001792

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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