Javon Bea Hospital

LBN: Javon Bea Hospital
Javon Bea Hospital is an health care organization with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Laboratories / Clinical Medical Laboratory. Hospitals / General Acute Care Hospital is the primary health care specialty. Javon Bea Hospital can be contacted via phone (815) 971-7000, or through Anderson, Todd via phone (608) 756-6000.

Contact Information

Primary practice address
8201 E Riverside Blvd Rockford IL 61114-2300
Phone: (815) 971-7000
Fax: (815) 968-4795
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Todd
Phone: (608) 756-6000

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 0002048 Illinois
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1629118609
LBN Legal business name Javon Bea Hospital
DBA Doing business as
Authorized official Anderson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2007
Last updated Feb 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629118609 NPPES
Florida MEDICAID 090109100
Florida MEDICAID 720850200
Florida MEDICAID 100034510A
Florida MEDICAID 11002400
Florida Other 372
Florida MEDICAID 1400239
Florida MEDICAID 0927533
Florida MEDICAID 1121340
Florida MEDICAID XHSP30083
Florida MEDICAID 108771105
Florida Other 140239
Florida MEDICAID 011307204

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