Javon Bea Hospital

LBN: Javon Bea Hospital
Javon Bea Hospital is an health care organization with primary practice located at 2400 N Rockton Ave , Rockford IL 61103. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Javon Bea Hospital can be contacted via phone (815) 971-5000, or through Anderson, Todd via phone (608) 756-6000.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103
Phone: (815) 971-5000
Fax: (815) 968-0170
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Todd
Phone: (608) 756-6000

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0002048 Illinois

Profile Details

NPI number 1437367166
LBN Legal business name Javon Bea Hospital
DBA Doing business as
Authorized official Anderson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2007
Last updated Jul 23rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437367166 NPPES
Minnesota MEDICAID 720850200
Minnesota MEDICAID XHSP30083
Minnesota MEDICAID 11002400
Minnesota MEDICAID 0927533
Minnesota Other 14S239
Minnesota MEDICAID 011307204
Minnesota MEDICAID 1400239
Minnesota MEDICAID 090109100
Minnesota MEDICAID 100034510A
Minnesota MEDICAID 1121340
Minnesota MEDICAID 108771105
Minnesota Other 372

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