PASSAVANT PHYSICIAN ASSOCIATION – Multi-Specialty Clinic/Center, NPI 1962689307

PASSAVANT PHYSICIAN ASSOCIATION is a healthcare provider. based in Jacksonville, Illinois. specializing in Multi-Specialty Clinic/Center. The organization holds a License No. 036048526 (IL). The NPI Number for PASSAVANT PHYSICIAN ASSOCIATION is 1962689307

Main info

Organization
Name
PASSAVANT PHYSICIAN ASSOCIATION
NPI
1962689307
Phone
(217) 479-5890
Address
1600 W WALNUT ST
Authorized Official
MRS. WENDI D GRAHAM PRACTICE PLAN ADMINISTRATOR
Enumeration Date
29 January 2008
Last Update Date
21 March 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for PASSAVANT PHYSICIAN ASSOCIATION

  • Passavant Area Hospital, 1600, West Walnut Street, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626501136

    Phone: (217) 479-5890

    Fax: (217) 479-5677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62650)

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Reviews

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Frequently asked questions

What identifier follows PASSAVANT PHYSICIAN ASSOCIATION across health systems?
The NPI 1962689307 uniquely identifies PASSAVANT PHYSICIAN ASSOCIATION in U.S. healthcare data.
Is PASSAVANT PHYSICIAN ASSOCIATION currently accepting referrals based on NPI status?
Registry metadata lists PASSAVANT PHYSICIAN ASSOCIATION as active.
What type of care does PASSAVANT PHYSICIAN ASSOCIATION provide?
PASSAVANT PHYSICIAN ASSOCIATION's profile centers on Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PASSAVANT PHYSICIAN ASSOCIATION?
PASSAVANT PHYSICIAN ASSOCIATION is associated with Jacksonville, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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