PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC – NPI #1720370778
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC is a provider located in JACKSONVILLE, IL. NPPES has assigned the NPI number 1720370778 to PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC on May 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC” is a dba name, the actual legal business name for this organization is PASSAVANT PHYSICIAN ASSOCIATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 15 years ago on Jul 06, 2011. 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 INTERNAL MEDICINE RURAL HEALTH CLINIC below.

NPI Profile for
PASSAVANT PHYSICIAN ASSOCIATION

NPI Number
1720370778
Enumeration Date

(more than 15 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 PHYSICIAN ASSOCIATION
Doing Business As (dba): PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC
Primary location
559 N WESTGATE AVE
JACKSONVILLE, IL 62650-1156
Phone: (217) 243-5474 Fax:
Mailing address
1600 W WALNUT ST
JACKSONVILLE, IL 62650-1136
Phone: (217) 245-9541 Fax:
Organization Subpart
No
Authorized Official
STEPHEN LEE
MANAGER
Phone: (217) 479-5890
Updated
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
207R00000X
- Internal Medicine (Primary)
IL 036056832
363LA2200X
- Nurse Practitioner / Adult Health
IL 209004842

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.