PAVILION FOUNDATION PHARMACY NPI 1780055608

NPI Information

  • NPI: 1780055608
  • Provider Name: PAVILION FOUNDATION PHARMACY
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D0860126
  • Address: 809 W CHURCH ST
    CHAMPAIGN, IL
    ZIP 61820
  • Phone: (217) 373-1860

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NPI Details

PAVILION FOUNDATION PHARMACY is a psychiatric hospital in Champaign, IL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PAVILION FOUNDATION PHARMACY NPI is 1780055608. The provider is registered as an organization entity type.

The provider's business location address is:

809 W CHURCH ST
CHAMPAIGN, IL
ZIP 61820-320
Phone: (217) 373-1860
Fax: (217) 373-1877

The provider's authorized official is Joe Sheehy .
The authorized official title is Ceo and has the following contact phone number (217) 373-1700.

The CLIA number assigned to this NPI record is 14D0860126 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.

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
1283Q00000XPsychiatric Hospital054016976ILLINOISYes

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: 11/21/2025

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