JERSEY COMMUNITY HOSPITAL DISTRICT NPI 1811392970

NPI Information

NPI: 1811392970
Provider Name: JERSEY COMMUNITY HOSPITAL DISTRICT

Other Name: JCH MEDICAL GROUP-JERSEYVILLE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D2096942

Address:
390 MAPLE SUMMIT RD
ILLINI BLDG
JERSEYVILLE, IL
ZIP 62052
Phone: (618) 498-2101
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JERSEY COMMUNITY HOSPITAL DISTRICT is a rural health clinic center in Jerseyville, IL. JERSEY COMMUNITY HOSPITAL DISTRICT NPI is 1811392970. The provider is registered as an organization entity type.
The provider Other Name Is Jch Medical Group-jerseyville.

The provider's business location address is:

390 MAPLE SUMMIT RD
ILLINI BLDG
JERSEYVILLE, IL
ZIP 62052-000
Phone: (618) 498-2101
Fax: (618) 498-8153

The provider's authorized official is Beth A King .
The authorized official title is Cfo and has the following contact phone number (618) 498-8350.

The CLIA number assigned to this NPI record is 14D2096942 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 7/14/2023.

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
1	261QR1300X	Clinic/Center	Rural Health	0001156	ILLINOIS	Yes

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: 5/5/2024

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