JERSEY COMMUNITY HOSPITAL


Address: 2 Myrtle Lane, Hardin, IL 62047
Phone: 6185769407

JERSEY COMMUNITY HOSPITAL (NPI# 1417352527) 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) 1417352527
Entity Type Organization
Organization Name JERSEY COMMUNITY HOSPITAL
Other Organization Name JCH MEDICAL GROUP-HARDIN
Practice Address 2 Myrtle Lane
Hardin
IL 62047
Mailing Address 390 Maple Summit Rd
Jerseyville
IL 62052-2000
Practice Telephone 6185769407
Practice Fax Number 6185762260
Mailing Telephone 6184987518
Mailing Fax Number 6184983052
Enumeration Date 2014-10-31
Last Update Date 2020-07-13
Authorized Official Name MRS. BETH A KING (CFO)
Authorized Official Telephone 6184988350
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
0001156 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
106 S Water St, Hardin, IL 620470106 6185769407 6185762260

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
1114322286 Jersey Community Hospital Pediatrics 1440 W Walnut St, Suite 2a, Jacksonville, IL 62650-1143 2014-10-30
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 2 MYRTLE LANE
City HARDIN
State IL
Zip Code 62047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306933262 Vicente S. Zata, M.d.,p.c. Family Medicine 2 Myrtle Lane, Hardin, IL 62047-0310 2006-10-10
1912236183 Jacqueline Sue Baalman Nurse Practitioner 2 Myrtle Lane, Hardin, IL 62047 2009-12-16
1003080714 Robert H. Parish, D.d.s., Ltd. Dentist 2 Myrtle Lane, Hardin, IL 62047 2008-04-15
1164636825 Timothy Lyons Family Medicine 2 Myrtle Lane, Hardin, IL 62047 2007-05-10
1083789911 Robert H Parish Jr. Dentist 2 Myrtle Lane, Lower Level, Hardin, IL 62047 2006-11-24
1710057732 Janeth Concepcion Jacinto Zata General Practice 2 Myrtle Lane, Hardin, IL 62047-0310 2006-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356510630 Illinois Valley Economic Development Corporation Case Management 200c South County Rd, Hardin, IL 62047 2008-02-21
1699890145 County of Calhoun Ambulance French Street, Hardin, IL 62047 2007-03-20
1619030319 Barton Pharmacies Inc Pharmacist 110 North County Road, Hardin, IL 62047 2006-12-18
1033285994 Calhoun Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 1 Myrtle Lane, Hardin, IL 62047 2006-11-24
1710080874 Fox Family Pharmacy Inc Pharmacy 110 N County Rd., Hardin, IL 62047 2006-09-06
1457518847 Melissa Zipprich Physician Assistant 106 S Water Street, Hardin, IL 62047 2008-05-22
1124153804 Illini Medical Associates Sc Family Medicine 106 South Water St, Hardin, IL 62047-0106 2007-02-22
1962572982 Vicente Santiago Zata Jr. Family Medicine 106 S Water Street, Hardin, IL 62047-0106 2006-11-08
1033175633 David A Harmon Family Medicine 106 South Water Street, Hardin, IL 62047-0106 2006-04-22
1649261587 Calhoun County Health Department Home Health 210 French Street, Hardin, IL 62047-0158 2005-10-31
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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...

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NPI Name Taxonomy Address Enumeration
1396386181 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak St Ste 100, Carbondale, IL 62901-1496 2019-10-02
1043872781 Mendota Community Hospital Clinic/Center 1401 E 12th St Ste 400, Mendota, IL 61342-9216 2019-07-02
1114582913 Hammond Henry Dist Hospital Clinic/Center 203 W Front St, Annawan, IL 61234-7756 2019-05-07
1841763810 Heartland Women's Healthcare Ltd Clinic/Center 24 Veterans Dr, Harrisburg, IL 62946-3320 2019-01-02
1821561895 Heartland Women's Healthcare Ltd Clinic/Center 215 N Logan St Ste A, West Frankfort, IL 62896-2314 2019-01-02
1578040275 Osf Healthcare System Clinic/Center 230 S Exchange St, Galva, IL 61434-1871 2018-07-25
1700380219 Toofan Medical Holdings, Ltd. Clinic/Center 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 2018-03-20
1326542903 Toofan Medical Holdings, Ltd. Clinic/Center 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 2018-03-20
1649795659 Harrisburg Medical Center Inc Clinic/Center 3106 Outer Dr Ste 200, Marion, IL 62959-5270 2017-08-10
1588186308 Wabash General Hospital District Clinic/Center 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 2017-07-13
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Competitor

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City HARDIN
Zip Code 62047

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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