Organization
PASSAVANT PHYSICIAN ASSOCIATION
Active
Parent organization
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Authorized official
MR. STEPHEN G LEE (PHYSICIAN SERVICES OFFICER)
(217) 479-5890
Entity
Organization
Contact information
Practice address
557 N WESTGATE AVE, JACKSONVILLE, IL 62650-1156
(217) 243-5474
(217) 245-2322
Mailing address
557 N WESTGATE AVE, JACKSONVILLE, IL 62650-1156
(217) 243-5474
(217) 245-2322
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
06/02/2014
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