PASSAVANT AREA HOSPITAL
NPI 1174580831
General Acute Care Hospital - Critical Access in Jacksonville, IL
About Passavant Area Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSAVANT AREA HOSPITAL (NPI 1174580831) is a healthcare organization registered as a critical access in Jacksonville, Illinois and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Paul Eddington, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Passavant Area Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Passavant Area Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 39Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 14D0044875
Passavant Area Hospital · Jacksonville, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Passavant Memorial Area Hospital Association's NPI number?
The NPI number for Passavant Memorial Area Hospital Association is 1174580831. It was assigned to this organization in the NPPES registry on April 27, 2006. The provider is doing business as Passavant Area Hospital.
Where is Passavant Memorial Area Hospital Association located?
Passavant Memorial Area Hospital Association is located at 1600 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 245-9541.
What is Passavant Memorial Area Hospital Association's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Passavant Memorial Area Hospital Association enrolled in Medicare?
Yes. Passavant Memorial Area Hospital Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Passavant Memorial Area Hospital Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 5 Medicare specialties reassign their Medicare billing to Passavant Memorial Area Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (22), Nurse Practitioner (12) and Infectious Disease (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Passavant Memorial Area Hospital Association hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 14D0044875) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Passavant Memorial Area Hospital Association was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Passavant Area Hospital · NPI 1174580831
Critical Access organization in Jacksonville, Illinois. Organization record, active in the CMS NPPES registry since April 27, 2006.
## Identity
- **NPI:** 1174580831 (Entity type: Organization)
- **Enumerated:** April 27, 2006
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Passavant Memorial Area Hospital Association
- **Organization subpart:** Yes (part of Memorial Health Systems)
- **Authorized official:** Paul Eddington, CFO
## Practice location
- **Address:** 1600 W WALNUT ST, Jacksonville, IL 62650
- **Phone:** (217) 245-9541 · **Fax:** (217) 479-8781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (22), Nurse Practitioner (12), Infectious Disease (2); 1 practice at this address; [full list](https://npiprofile.com/npi/1174580831/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174580831) · Data from the CMS NPPES public registry.