| Entity Name: | THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 27 Apr 1906 |
| Company Number: | CORP_09917543 |
| File Number: | 09917543 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| CFWGHMF6MGA1 | 2024-11-20 | 1600 W WALNUT ST, JACKSONVILLE, IL, 62650, 1136, USA | 1600 W. WALNUT ST., JACKSONVILLE, IL, 62650, 1136, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | JACKSONVILLE MEMORIAL HOSPITAL |
| URL | memorial.health |
| Congressional District | 15 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-11-23 |
| Initial Registration Date | 2008-04-03 |
| Entity Start Date | 1906-04-27 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SCOTT BOSTON |
| Address | 1600 W. WALNUT ST., JACKSONVILLE, IL, 62650, 1136, USA |
| Title | ALTERNATE POC |
| Name | PAUL EDDINGTON |
| Address | 1600 W. WALNUT, JACKSONVILLE, IL, 62650, 1136, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | PAUL EDDINGTON |
| Address | 1600 W. WALNUT, JACKSONVILLE, IL, 62650, 1136, USA |
| Title | ALTERNATE POC |
| Name | SCOTT BOSTON |
| Address | 1600 W. WALNUT ST., JACKSONVILLE, IL, 62650, 1136, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | KATHRYN J KEIM |
| Address | 701 N. FIRST ST, SPRINGFIELD, IL, 62781, USA |
| Title | ALTERNATE POC |
| Name | AMANDA ZENTEFIS |
| Address | 701 N. 1ST ST, SPRINGFIELD, IL, 62781, USA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ANNA EVANS, 340 W. MILLER STREET, SPRINGFIELD, 62702, SANGAMON | Agent | 2022-08-24 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054018792 | No data | No data | LICENSED PHARMACY | No data | 2014-10-01 | 2024-02-13 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| JACKSONVILLE MEMORIAL HOSPITAL AUXILIARY | No data | 2021-07-29 | 2022-03-02 | Voluntary Cancellation | No data |
| HEALTHY JACKSONVILLE | NFP Assume Name | 2021-07-29 | No data | No data | No data |
| JACKSONVILLE MEMORIAL HOSPITAL | NFP Assume Name | 2021-05-25 | No data | No data | No data |
| PASSAVANT INTERNAL MEDICINE | NFP Assume Name | 2020-12-28 | No data | No data | No data |
| THE CENTER FOR PSYCHIATRIC HEALTH | NFP Assume Name | 2020-12-28 | No data | No data | No data |
| PASSAVANT SURGICAL ASSOCIATES | NFP Assume Name | 2020-12-28 | No data | No data | No data |
| PASSAVANT OB/GYN | NFP Assume Name | 2020-12-28 | No data | No data | No data |
| JACKSONVILLE EAR NOSE AND THROAT | NFP Assume Name | 2020-12-28 | No data | No data | No data |
| ADVANCED WOUND HEALING AND HYPERBARIC MEDICINE | NFP Assume Name | 2020-12-28 | No data | No data | No data |
| JACKSONVILLE INTERNAL MEDICINE | NFP Assume Name | 2020-12-28 | No data | No data | No data |
Date of last update: 27 Jan 2025
