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PASSAVANT PHYSICIAN ASSOCIATION
NPI 1205387958
Clinic/Center - Rural Health in Jacksonville, IL

Active since October 18, 2016
1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 243-8455(217) 243-7951 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Passavant Physician Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASSAVANT PHYSICIAN ASSOCIATION (NPI 1205387958) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since October 2016. The organization lists Stephen G Lee, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1205387958
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePASSAVANT PHYSICIAN ASSOCIATION
Location Address1600 W WALNUT STJacksonville, IL 62650-1136
Mailing Address1600 W Walnut StJacksonville, IL 62650-1136 · (217) 243-8455 · Fax (217) 243-7951
Phone(217) 243-8455
Fax(217) 243-7951
Organization SubpartYesParent: Passavant Memorial Area Hospital
Authorized OfficialStephen G LeePractice Manager · (217) 479-5890
Enumeration DateOctober 18, 2016
✔ NPI 1205387958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
1600 W WALNUT ST, Jacksonville, IL 62650
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5437
PATRICIA HOBSON
Physical Therapist
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Pediatrics
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5437
JEFFREY L OLEJNIK LLC
Obstetrics & Gynecology
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-5930
DR. ELI G GOODMAN MD
Internal Medicine (Geriatric Medicine)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 479-5890
CENTER FOR PSYCHIATRIC HEALTH
Psychiatry & Neurology (Psychiatry)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541
MICHELLE LEE GEISS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
MATTHEW J BEDNARCHIK CRNA
Nurse Anesthetist, Certified Registered
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541

Frequently 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 Physician Association's NPI number?

The NPI number for Passavant Physician Association is 1205387958. It was assigned to this organization in the NPPES registry on October 18, 2016.

Where is Passavant Physician Association located?

Passavant Physician Association is located at 1600 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 243-8455.

What is Passavant Physician Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Passavant Physician Association was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.