# JERSEY COMMUNITY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JCH HealthCare, Jersey Community Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780617530
- **Authorized official:** MICHELLE HOPPER (CFO)
- **Authorized official phone:** (618) 498-8349

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 001156 | ID | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 001156 | IL | — |
| 367500000X | Certified Registered Nurse Anesthetist | 001156 | IL | — |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 03/05/2025