Passavant Physician Association

LBN: Passavant Physician Association
Passavant Physician Association is an health care organization with primary practice located at 557 N Westgate Ave , Jacksonville IL 62650-1156. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Passavant Physician Association can be contacted via phone (217) 243-5474, or through Lee, Stephen G via phone (217) 479-5890.

Contact Information

Primary practice address
557 N Westgate Ave Jacksonville IL 62650-1156
Phone: (217) 243-5474
Fax: (217) 245-2322
Website:
Map and Directions
Authorized official contact:
Name: Lee, Stephen G
Phone: (217) 479-5890

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1922410836
LBN Legal business name Passavant Physician Association
DBA Doing business as
Authorized official Lee, Stephen G
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2014
Last updated Jun 2nd, 2014 - about 12 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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