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PASSAVANT PHYSICIAN ASSOCIATION
NPI 1922410836
Clinic/Center - Rural Health in Jacksonville, IL

Active since May 27, 2014
557 N WESTGATE AVE, JACKSONVILLE, IL 62650(217) 243-5474(217) 245-2322 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Passavant Physician Association NPPES

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

PASSAVANT PHYSICIAN ASSOCIATION (NPI 1922410836) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since May 2014. The organization lists Stephen G Lee, Physician Services Officer, as its authorized official.

NPPES Registry Identity

NPI1922410836
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePASSAVANT PHYSICIAN ASSOCIATION
Location Address557 N WESTGATE AVEJacksonville, IL 62650-1156
Mailing Address557 N Westgate AveJacksonville, IL 62650-1156 · (217) 243-5474 · Fax (217) 245-2322
Phone(217) 243-5474
Fax(217) 245-2322
Organization SubpartYesParent: Passavant Memorial Area Hospital Association
Authorized OfficialStephen G LeePhysician Services Officer · (217) 479-5890
Enumeration DateMay 27, 2014
Last NPPES UpdateJune 2, 2014
✔ NPI 1922410836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
557 N WESTGATE AVE, Jacksonville, IL 62650
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Other Providers at the Same Location NPPES 5

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

MR. WILLIAM R TENNILL LCSW
Social Worker (Clinical)
557 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
SHELLEY L REITHER LCPC
Counselor (Professional)
557 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
PASSAVANT MEMORIAL AREA HOSPITAL
Psychologist
557 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
DR. ALLISON MARIE MEISNER M.D.
Psychiatry & Neurology (Psychiatry)
557 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
RUSSELL GUY TAYLOR PHD
Psychologist (Clinical)
557 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275

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 1922410836. It was assigned to this organization in the NPPES registry on May 27, 2014.

Where is Passavant Physician Association located?

Passavant Physician Association is located at 557 N Westgate Ave, Jacksonville, IL 62650. The listed phone number is (217) 243-5474.

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 June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.