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Organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Active
Organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Active
Parent organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Other names
Passavant Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Authorized official
ROBERT L SILTMAN (DIRECTOR, PATIENT FINCNAIAL SERVICE)
(217) 479-5652
Entity
Organization
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 479-8781
Mailing address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 479-8781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/26/2017
Last updated
04/09/2018
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