Passavant Physician Association
NPI 1972054609 · Rural Health Clinic/Center · Jacksonville, IL
Passavant Physician Association is a Rural Health Clinic/Center organization in Jacksonville, IL (NPI 1972054609).
Provider details
- NPI number
- 1972054609
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Passavant Memorial Area Hospital
- Organization subpart
- Yes
- Authorized official
- Robert Ellison, Director(217) 479-5890
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2017-04-04
Frequently asked questions
- What is Passavant Physician Association's NPI number?
- Passavant Physician Association's National Provider Identifier (NPI) is 1972054609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Passavant Physician Association?
- Passavant Physician Association is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Passavant Physician Association located?
- Passavant Physician Association's practice location on file with NPPES is 559 N Westgate Ave, Jacksonville, IL 62650-1156.
- What is Passavant Physician Association's phone number?
- The practice phone number listed in the NPPES registry for Passavant Physician Association is (217) 243-5474.
- Who is the authorized official for Passavant Physician Association?
- The authorized official listed on Passavant Physician Association's NPPES record is Robert Ellison, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Passavant Physician Association's NPI active?
- Yes — Passavant Physician Association's NPI (1972054609) is active in the NPPES registry as of the last update on 2017-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.