Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PASSAVANT MEMORIAL AREA HOSPITAL
Active OrganizationPASSAVANT MEMORIAL AREA HOSPITAL is a Psychologist organization located in JACKSONVILLE, Illinois. NPI 1649210444 is currently active in the NPPES registry. Verify at CMS.
Psychologist · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1649210444
- Provider Type
- Organization
- NPI Issued
- Jun 8, 2006 (19.999374872351 yrs)
- Last Updated
- Aug 23, 2007
Practice Information
- Address
-
557 N WESTGATE AVEJACKSONVILLE, IL, 626501156Browse IL providers · Browse ZIP 62650
- Phone
- 2172457275
- Fax
- 2172457427
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.