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PAVILION FOUNDATION PHARMACY
NPI 1780055608
Psychiatric Hospital in Champaign, IL

Active since October 19, 2015
809 W CHURCH ST, CHAMPAIGN, IL 61820(217) 373-1860(217) 373-1877 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pavilion Foundation Pharmacy NPPES

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

PAVILION FOUNDATION PHARMACY (NPI 1780055608) is a healthcare organization registered as a psychiatric hospital in Champaign, Illinois and active in the NPI registry since October 2015. The organization lists Joe Sheehy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780055608
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NamePAVILION FOUNDATION PHARMACY
Location Address809 W CHURCH STChampaign, IL 61820-3320
Mailing Address809 W Church StChampaign, IL 61820-3320 · (217) 373-1860 · Fax (217) 373-1877
Phone(217) 373-1860
Fax(217) 373-1877
Organization SubpartNo
Authorized OfficialJoe SheehyCeo · (217) 373-1700
Enumeration DateOctober 19, 2015
✔ NPI 1780055608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in IL · 054016976
Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

809 W CHURCH ST, Champaign, IL 61820
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Other Providers at the Same Location NPPES 9

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

SANDRA DIXON C.N.S.
Clinical Nurse Specialist
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1854
JANET WIPFLI C.N.S.
Clinical Nurse Specialist
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1850
MRS. L. JANE WILSON LMFT
Marriage & Family Therapist
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1850
THE PAVILION FOUNDATION
Psychiatric Residential Treatment Facility
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1700
CHAD ORIN COTTRELL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 474-3261
PETER ERICKSON L.C.S.W.
Social Worker (Clinical)
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1850
PAVILION FOUNDATION
Psychiatric Hospital
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1700
AMANDA CAVAZOS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
809 W CHURCH ST
CHAMPAIGN, IL 61820
Champaign County (217) 373-1700

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 Pavilion Foundation Pharmacy's NPI number?

The NPI number for Pavilion Foundation Pharmacy is 1780055608. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Pavilion Foundation Pharmacy located?

Pavilion Foundation Pharmacy is located at 809 W Church St, Champaign, IL 61820. The listed phone number is (217) 373-1860.

What is Pavilion Foundation Pharmacy's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Pavilion Foundation Pharmacy was last updated on October 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.