Organization
JAVON BEA HOSPITAL
Active
Parent organization
MERCY HEALTH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
JOSEPH D MALAS (CFO)
(815) 971-6738
Entity
Organization
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
(815) 968-4795
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(608) 314-2428
(815) 968-0170
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0002048
IL
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011307204
—
MO
05
—
090109100
—
FL
05
—
0927533
—
IA
05
—
100034510A
—
IN
05
—
108771105
—
AR
05
—
11002400
—
WI
05
—
1121340
—
PA
05
—
1400239
—
NC
01
—
140239
IL MEDICARE
IL
01
—
372
BCBS
—
05
—
720850200
—
MN
05
—
XHSP30083
—
CA
Enumeration date
02/07/2007
Last updated
02/05/2026
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