Organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Active
Parent organization
MEMORIAL HEALTH SYSTEM
Other names
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HEALTH SYSTEM
Authorized official
MR. ROBERT L SILTMAN (DIRECTOR, PATIENT FINANCIAL SERVICE)
(217) 245-9541
Entity
Organization
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650
(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
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50317
BLUE CROSS
IL
Enumeration date
02/01/2007
Last updated
07/29/2022
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