Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Passavant Memorial Area Hospital Association

Organization Clinical Social Worker · NPI 1689780520

Passavant Memorial Area Hospital Association is a Clinical Social Worker in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
8
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Practice location Address checks out

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 245-9541
Fax: (217) 479-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Social Worker Taxonomy 1041C0700X
Registered Dietitian Taxonomy 133V00000X (IL)
Hematology & Oncology Physician Taxonomy 207RH0003X
Surgery Physician Taxonomy 208600000X (IL)
Physical Therapist Taxonomy 225100000X
Nurse Practitioner Taxonomy 363L00000X (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X (IL)

Record details

NPI number1689780520
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Health System
Authorized official Harry Schmidt — President And Ceo · (217) 245-9541
Other names Passavant Area Hospital
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1600 W Walnut St, Jacksonville, IL 62650-1136

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