Provider Demographics
NPI:1831070408
Name:JAVON BEA HOSPITAL
Entity type:Organization
Organization Name:JAVON BEA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:MALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-971-6738
Mailing Address - Street 1:1400 E INMAN PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1774
Mailing Address - Country:US
Mailing Address - Phone:608-361-6705
Mailing Address - Fax:608-361-6722
Practice Address - Street 1:1400 E INMAN PKWY STE 1
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1774
Practice Address - Country:US
Practice Address - Phone:608-361-6705
Practice Address - Fax:608-361-6722
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy