# JERSEY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JERSEY COMMUNITY HOSPITAL
- **Other names:** JCH Medical Group - Jerseyville II
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659750818
- **Legal business name:** JERSEY COMMUNITY HOSPITAL
- **Authorized official:** MRS. MICHELLE A HOPPER (CFO)
- **Authorized official phone:** (618) 498-8349

## Contact information

- **Practice address:** 270 MAPLE SUMMIT RD, MCDOW BLDG, JERSEYVILLE, IL 62052-2004
- **Practice address phone:** (618) 498-7108
- **Practice address fax:** (618) 498-7919
- **Mailing address:** 390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
- **Mailing address phone:** (618) 498-7518
- **Mailing address fax:** (618) 498-3052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0001156 | IL | — |
| 261QR1300X | Rural Health Clinic/Center | 0001156 | IL | Yes |

## Other

- **Enumeration date:** 05/21/2015
- **Last updated:** 02/19/2025