PASSAVANT AREA HOSPITAL – NPI #1174580831
General Acute Care Hospital

PASSAVANT AREA HOSPITAL is a general acute care hospital located in JACKSONVILLE, IL. NPPES has assigned the NPI number 1174580831 to PASSAVANT AREA HOSPITAL on April 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PASSAVANT AREA HOSPITAL” is a dba name, the actual legal business name for this organization is PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 4 years ago on Nov 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PASSAVANT AREA HOSPITAL below.

NPI Profile for
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION

NPI Number
1174580831
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Doing Business As (dba): PASSAVANT AREA HOSPITAL
Primary location
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Phone: (217) 245-9541 Fax: (217) 479-8781
Mailing address
Same as primary location
Organization Subpart
Yes - PASSAVANT AREA HOSPITAL is subpart of another organization.
Authorized Official
PAUL EDDINGTON
CFO
Phone: (217) 479-5898
Updated
Certification Date
Nov 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
282N00000X
- General Acute Care Hospital		 IL 0001792

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://www.mettles.com/
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.6037.1
Content Type
Affiliation
N
Endpoint Location
10320 LITTLE PATUXENT PKWY STE 233-02,
COLUMBIA, MD 77025-1669