JERSEY COMMUNITY HOSPITAL


Address: 1440 W Walnut St, Suite 2a, Jacksonville, IL 62650-1143
Phone: 2172433543

JERSEY COMMUNITY HOSPITAL (NPI# 1114322286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114322286
Entity Type Organization
Organization Name JERSEY COMMUNITY HOSPITAL
Other Organization Name JCH MEDICAL GROUP-JACKSONVILLE
Practice Address 1440 W Walnut St
Suite 2a
Jacksonville
IL 62650-1143
Mailing Address 390 Maple Summit Rd
Jerseyville
IL 62052-2000
Practice Telephone 2172433543
Practice Fax Number 2172432323
Mailing Telephone 6184987518
Mailing Fax Number 6184983052
Enumeration Date 2014-10-30
Last Update Date 2017-08-21
Authorized Official Name MRS. BETH A KING (CFO)
Authorized Official Telephone 6184988350
Is Organization Subpart Y
Parent Organization Name JERSEY COMMUNITY HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 0001156 IL Allopathic & Osteopathic Physicians
Y 261QR1300X Clinic/Center
Specialization: Rural Health
0001156 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
JCH Medical Group-Jacksonville Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285272807 Jersey Community Hospital Obstetrics & Gynecology #2 Memorial Drive, Suite 203, Alton, IL 62002 2019-12-13
1770988735 Jersey Community Hospital Clinic/Center 414 S State St, Roodhouse, IL 62082-1544 2014-11-03
1922403096 Jersey Community Hospital Obstetrics & Gynecology 2 Memorial Dr Ste 203, Alton, IL 62002-6723 2014-10-30
1700423696 Jersey Community Hospital Family Medicine 903 S State St, Jerseyville, IL 62052-2344 2019-12-10
1710461777 Jersey Community Hospital Durable Medical Equipment & Medical Supplies 400 Maple Summit Rd, Suite 100, Jerseyville, IL 62052-2028 2018-09-17
1548744501 Jersey Community Hospital Social Worker 220 E County Rd, Jerseyville, IL 62052-3125 2018-09-17
1659750818 Jersey Community Hospital Family Medicine 270 Maple Summit Rd, Jerseyville, IL 62052-2004 2015-05-21
1689079642 Jersey Community Hospital Clinic/Center 523 S Main St, Carrollton, IL 62016-1256 2014-11-03
1417352527 Jersey Community Hospital Clinic/Center 2 Myrtle Lane, Hardin, IL 62047 2014-10-31
1730584806 Jersey Community Hospital Psychiatry & Neurology 815 E 5th St, Suite 205, Alton, IL 62002-6471 2014-10-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JERSEY COMMUNITY HOSPITAL DISTRICT 400 Maple Summit Rd, Jerseyville, IL 62052-2028

Office Location

Street Address 1440 W WALNUT ST
SUITE 2A
City JACKSONVILLE
State IL
Zip Code 62650-1143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770576829 Peter Damon Russotto Podiatrist 1440 W Walnut St, #5, Jacksonville, IL 62650-1143 2005-08-24
1972023117 Ethan Duewer Dentist 1440 W Walnut St, Jacksonville, IL 62650-1143 2017-06-20
1205282936 Central Counties Health Centers, Inc. Physician Assistant 1440 W Walnut St, Suite 2, Jacksonville, IL 62650-1143 2016-05-12
1891034294 Illini Medical Associates, Sc Pediatrics 1440 W Walnut St, Ste 2a, Jacksonville, IL 62650-1143 2013-02-05
1558480418 Physical Therapists Clinic,ltd Clinic/Center 1440 W Walnut St, Suite 2, Jacksonville, IL 62650-1143 2007-03-29
1083769475 Physical Therapists Clinic, Ltd Physical Therapist 1440 W Walnut St, Suite2, Jacksonville, IL 62650-1143 2007-01-24
1174608533 Donald Robert Beckett Jr. Dentist 1440 W Walnut St, Suite 2, Jacksonville, IL 62650 2006-10-26
1336179712 Amy Jo Blanford Physical Therapist 1440 W Walnut St, Building #2, Jacksonville, IL 62650-1143 2006-07-03
1245203439 Linda V Stevens-schilsky Pediatrics 1440 W Walnut St, Jacksonville, IL 62650 2006-02-09
1043299803 Abby G Henry Physical Therapist 1440 W Walnut St, #2, Jacksonville, IL 62650-1143 2006-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053804443 Siu Physicians & Surgeons, Inc Clinic/Center 610 N Westgate Ave, Jacksonville, IL 62650-1152 2018-06-11
1861991226 Jacksonville Hospital LLC Clinic/Center 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 2018-02-12
1922410836 Passavant Physician Association Clinic/Center 557 N Westgate Ave, Jacksonville, IL 62650-1156 2014-05-27
1205180056 Memorial Physician Services Clinic/Center 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650-1136 2012-11-01
1104179415 Memorial Physician Services Clinic/Center 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 2012-10-24
1558614867 Memorial Physician Services Clinic/Center 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 2012-10-24
1881947174 Memorial Physician Services Clinic/Center 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 2012-10-24
1821366170 East Texas Medical Center Jacksonville Clinic/Center 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 2011-12-01
1598068793 Springfield Clinic LLP Clinic/Center 15 Founders Ln, Jacksonville, IL 62650-3919 2010-12-09
1619129897 Jacksonville, LLC Clinic/Center 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 2008-10-21
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 62650

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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