NPI Code Detail JSON Logo

1831070408 NPI number — JAVON BEA HOSPITAL

NPI Number: 1831070408
Health Care Provider/Practitioner: JAVON BEA HOSPITAL

Information about “1831070408” NPI (JAVON BEA HOSPITAL) exists in 1831070408 in HTML format HTML  |  1831070408 in plain Text format TXT  |  1831070408 in PDF (Portable Document Format) PDF  |  1831070408 in an XML format XML  formats.

NPI Number : 1831070408 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831070408",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MERCY HEALTH CORPORATION",
    "ParentOrgTIN": null,
    "OrgName": "JAVON BEA HOSPITAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1400 E INMAN PKWY STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELOIT",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53511-1774",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-361-6705",
    "MailingAddressFaxNumber": "608-361-6722",
    "FirstLinePracticeLocationAddress": "1400 E INMAN PKWY STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELOIT",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53511-1774",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-361-6705",
    "PracticeLocationAddressFaxNumber": "608-361-6722",
    "EnumerationDate": "09/10/2025",
    "LastUpdateDate": "09/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MALAS",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "815-971-6738",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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