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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 1972054609 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · JACKSONVILLE, IL

Registration Details

NPI Number
1972054609
Provider Type
Organization
NPI Issued
Oct 18, 2016 (9.8217436982639 yrs)
Last Updated
Apr 4, 2017

Practice Information

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

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.