# JERSEY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JCH Medical Group- Jerseyville IV, JCH Medical Group-Jerseyville IV
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700423696
- **Authorized official:** MICHELLE HOPPER (CFO)
- **Authorized official phone:** (618) 498-8349

## Contact information

- **Practice address:** 903 S STATE ST, JERSEYVILLE, IL 62052-2344
- **Practice address phone:** (618) 639-9255
- **Practice address fax:** (618) 639-8000
- **Mailing address:** PO BOX 405, JERSEYVILLE, IL 62052-0405
- **Mailing address phone:** (618) 498-8310
- **Mailing address fax:** (618) 498-8439

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 03/05/2025