Passavant Memorial Area Hospital
NPI #1366486771 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1366486771
- Entity Type
- Organization
- Organization Name
- Passavant Memorial Area Hospital
- Primary Specialty
- Surgery
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 479-5821
Authorized Official
- Name
- LARRY RAGEL
- Title
- CFO/VICE PRESIDENT OF FINANCE
- Phone
- (217) 479-5527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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