PASSAVANT MEMORIAL AREA HOSPITAL


Address: 1600 W Walnut St, Jacksonville, IL 62650-1136
Phone: 2172459541

PASSAVANT MEMORIAL AREA HOSPITAL (NPI# 1972619815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972619815
Entity Type Organization
Organization Name PASSAVANT MEMORIAL AREA HOSPITAL
Other Organization Name PASSAVANT AREA HOSPITAL
Practice Address 1600 W Walnut St
Jacksonville
IL 62650-1136
Practice Telephone 2172459541
Practice Fax Number 2174798781
Mailing Telephone 2172459541
Mailing Fax Number 2174798781
Enumeration Date 2006-08-22
Last Update Date 2017-02-22
Authorized Official Name MR. HARRY M SCHMIDT (PRESIDENT AND CEO)
Authorized Official Telephone 2172459541
Is Organization Subpart Y
Parent Organization Name MEMORIAL HEALTH SYSTEM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital ========= IL Hospitals

Other Provider/Organization Names

Other Name Type Code
PASSAVANT AREA HOSPITAL Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649210444 Passavant Memorial Area Hospital Social Worker 557 N Westgate Ave, Jacksonville, IL 62650-1156 2006-06-08
1881700722 Passavant Memorial Area Hospital General Acute Care Hospital 1600 W Walnut St, Jacksonville, IL 62650-1136 2006-08-22
1366486771 Passavant Memorial Area Hospital Surgery 1600 W Walnut St, Jacksonville, IL 62650-1136 2006-06-15
1184668519 Passavant Memorial Area Hospital Emergency Medicine 1600 W Walnut St, Jacksonville, IL 62650-1136 2006-06-15

Office Location

Street Address 1600 W WALNUT ST
City JACKSONVILLE
State IL
Zip Code 62650-1136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609873249 Charles Milton Sheaff Surgery 1600 W Walnut St, East Wing 2nd Floor, Jacksonville, IL 62650-1136 2005-06-28
1528690799 Holly Diane Pennell Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2020-02-06
1669004081 Elizabeth Ann Johnson Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2020-02-05
1164053526 Kayla Christine Vickers Physical Therapist 1600 W Walnut St, Jacksonville, IL 62650-1136 2020-02-03
1366912040 Kelsi Lynn Dobson Social Worker 1600 W Walnut St, Jacksonville, IL 62650-1136 2018-11-26
1114402518 Michelle Lee Geiss Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2018-10-02
1134606858 Matthew Pulley Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2018-07-25
1760994040 Passavant Memorial Area Hospital Association Family Medicine 1600 W Walnut St, Jacksonville, IL 62650-1136 2017-10-26
1871002238 Courtney Howell Social Worker 1600 W Walnut St, Jacksonville, IL 62650-1136 2017-09-28
1831639194 Carrie Elizabeth Janus Nurse Practitioner 1600 W Walnut St, The Center for Psychiatric Health, Jacksonville, IL 62650-1136 2017-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528683257 Gainesville Vamc General Acute Care Hospital 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 2020-06-09
1922487974 Shemaka James General Acute Care Hospital 5202 Wabash Blvd, Jacksonville, FL 32254-1366 2015-05-22
1962893149 Michelle Porter General Acute Care Hospital 402 Stagecoach Dr, Jacksonville, NC 28546-8663 2015-02-10
1811246390 St. Vincent's Healthcare General Acute Care Hospital 3 Shircliff Way Ste 714, Jacksonville, FL 32204-4786 2012-08-30
1255570974 Svila Skin Solutions General Acute Care Hospital 1936 San Marco Blvd, Jacksonville, FL 32207-3286 2009-02-19
1760644009 Walter Ruday Jr. General Acute Care Hospital 2748 University Blvd W, Jacksonville, FL 32217-2123 2008-06-27
1386801116 Abdolreza Mohammadian General Acute Care Hospital 1536 N.jefferson Street, Va Outpatient Clinic, Jacksonville, FL 32209-0000 2008-05-20
1861451114 Allegiance Hospital of North Little Rock, LLC General Acute Care Hospital 1400 Braden St., Jacksonville, AR 72076 2006-03-23
1730697350 Jacksonville Hospital LLC General Acute Care Hospital 501 S Ragsdale St, Jacksonville, TX 75766-2434 2018-01-17
1144735069 Brynn Marr Hospital - Navy Resource Sharing General Acute Care Hospital 192 Village Dr, Jacksonville, NC 28546-7238 2017-12-14
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 62650

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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