PASSAVANT AREA HOSPITAL
NPI 1174580831
General Acute Care Hospital - Critical Access in Jacksonville, IL

Q: 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.

Active since April 27, 2006CLIA 14D0044875 · Accreditation

1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 245-9541(217) 479-8781 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2022, Jul 29, 2022, Jan 12, 2022 and 4 more (7 updates tracked since 2017).

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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

NPI1174580831

Entity TypeOrganization

Primary Taxonomy282NC0060X

Legal Business NamePASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION

Location Address1600 W WALNUT STJacksonville, IL 62650

Mailing Address1600 W Walnut StJacksonville, IL 62650-9980 · (217) 245-9541 · Fax (217) 479-8781

Phone(217) 245-9541

Fax(217) 479-8781

Organization SubpartYesParent: Memorial Health Systems

Authorized OfficialPaul EddingtonCfo · (217) 479-5898

Enumeration DateApril 27, 2006

Last NPPES UpdateNovember 8, 20227 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1174580831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 0001792 (IL)

1600 W WALNUT ST, Jacksonville, IL 62650

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Other Names 1

Doing Business AsPassavant Area Hospital

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, IL

Active · expires Feb 27, 2027

CLIA Number14D0044875

Laboratory TypeHospital

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. John Z. Gao

Laboratory Phone(217) 245-9541

Laboratory LocationPassavant Area Hospital1600 W Walnut St, Jacksonville, IL 62650

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHCARE NETWORK ASSOCIATES

Clinic/Center (Multi-Specialty)