# JAVON BEA HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HEALTH CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629118609
- **Legal business name:** MERCY HEALTH CORPORATION
- **Authorized official:** PATRICIA LYNNE ALLEN (CFO)
- **Authorized official phone:** (608) 756-6080

## Contact information

- **Practice address:** 8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
- **Practice address phone:** (815) 971-7000
- **Practice address fax:** (815) 968-4795
- **Mailing address:** 8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
- **Mailing address phone:** (815) 971-7000
- **Mailing address fax:** (815) 968-9340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0002048 | IL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 09/21/2026
