JAVON BEA HOSPITAL NPI 1629118609

NPI Information

  • NPI: 1629118609
  • Provider Name: JAVON BEA HOSPITAL
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • Address: 8201 E RIVERSIDE BLVD
    ROCKFORD, IL
    ZIP 61114
  • Phone: (815) 971-7000

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NPI Details

JAVON BEA HOSPITAL is a general acute care hospital in Rockford, IL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. JAVON BEA HOSPITAL NPI is 1629118609. The provider is registered as an organization entity type.

The provider's business location address is:

8201 E RIVERSIDE BLVD
ROCKFORD, IL
ZIP 61114-300
Phone: (815) 971-7000
Fax: (815) 968-4795

The provider's authorized official is Joseph D Malas .
The authorized official title is Cfo and has the following contact phone number (815) 971-6738.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2282N00000XGeneral Acute Care Hospital0002048ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1XHSP30083MEDICAIDCALIFORNIA
2108771105MEDICAIDARKANSAS
3372OTHERBCBS
41121340MEDICAIDPENNSYLVANIA
51400239MEDICAIDNORTH CAROLINA
6720850200MEDICAIDMINNESOTA
7011307204MEDICAIDMISSOURI
8090109100MEDICAIDFLORIDA
9140239OTHERILLINOISIL MEDICARE
10100034510AMEDICAIDINDIANA
1111002400MEDICAIDWISCONSIN
120927533MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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