Organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Active
Organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Active
Other names
Jacksonville Professional Fees
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BOWLING (DIRECTOR)
(217) 588-2626
Entity
Organization
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 245-9541
(217) 757-7550
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/19/2022
Last updated
01/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up