Passavant Memorial Area Hospital Association
NPI 1760994040ActiveOrganization· Internal Medicine· Jacksonville, IL
Internal Medicine in Jacksonville, Illinois, registered in NPPES in October 2017, part of Passavant Memorial Area Hospital Association. The authorized official on file is Robert L. Siltman, Director, Patient Fincnaial Service. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760994040 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Passavant Memorial Area Hospital Association |
| NPI issued | Oct 26, 2017 |
| Last updated in NPPES | Apr 9, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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