# JERSEY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598959215
- **Authorized official:** TIMOTHY A BARTELS (BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (618) 498-8320

## Contact information

- **Practice address:** 400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
- **Practice address phone:** (618) 498-6402
- **Practice address fax:** (618) 498-8492
- **Mailing address:** 400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
- **Mailing address phone:** (618) 498-6402
- **Mailing address fax:** (618) 498-8492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3361801 | IL | Yes |
| 3416L0300X | Land Ambulance | 3361802 | IL | — |
| 3416L0300X | Land Ambulance | 3361803 | IL | — |
| 3416L0300X | Land Ambulance | 3361804 | IL | — |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 07/14/2023