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PASSAVANT PHYSICIAN ASSOCIATION
NPI 1972054609
Clinic/Center - Rural Health in Jacksonville, IL

Active since October 18, 2016
559 N WESTGATE AVE, JACKSONVILLE, IL 62650(217) 243-5474(217) 245-2322 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Passavant Physician Association NPPES

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

PASSAVANT PHYSICIAN ASSOCIATION (NPI 1972054609) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since October 2016. The organization lists Robert Ellison, Director, as its authorized official.

NPPES Registry Identity

NPI1972054609
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePASSAVANT PHYSICIAN ASSOCIATION
Location Address559 N WESTGATE AVEJacksonville, IL 62650-1156
Mailing Address559 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
Authorized OfficialRobert EllisonDirector · (217) 479-5890
Enumeration DateOctober 18, 2016
Last NPPES UpdateApril 4, 2017
✔ NPI 1972054609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
559 N WESTGATE AVE, 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 4

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

PASSAVANT PHYSICIAN ASSOCIATION
Internal Medicine
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-5474
DR. BABU RAO ELADASARI MD,FACP
Internal Medicine
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-5474
HILARY L. BOYLE AU.D.
Audiologist
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-9426
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6126

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 1972054609. 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 559 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 April 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.