Passavant Physician Association

LBN: Passavant Physician Association
Passavant Physician Association is an health care organization with primary practice located at 559 N Westgate Ave , Jacksonville IL 62650-1156. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Otolaryngology, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Passavant Physician Association can be contacted via phone (217) 243-5474, or through Ellison, Robert via phone (217) 479-5890.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1972054609
LBN Legal business name Passavant Physician Association
DBA Doing business as
Authorized official Ellison, Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2016
Last updated Apr 4th, 2017 - about 9 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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