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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PASSAVANT PHYSICIAN ASSOCIATION

Active Organization

PASSAVANT PHYSICIAN ASSOCIATION is a Rural Health Clinic organization located in JACKSONVILLE, Illinois. NPI 1922410836 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · JACKSONVILLE, IL

Registration Details

NPI Number
1922410836
Provider Type
Organization
NPI Issued
May 27, 2014 (12.228521298165 yrs)
Last Updated
Jun 2, 2014

Practice Information

Address
557 N WESTGATE AVE
JACKSONVILLE, IL, 626501156
Browse IL providers · Browse ZIP 62650
Phone
2172435474
Fax
2172452322
Primary Specialty
Rural Health Clinic
261QR1300X

Other Rural Health Clinic Organizations in JACKSONVILLE, IL

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.