# JERSEY COMMUNITY HOSPITAL

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

## Provider details

- **NPI number:** 1811392970
- **Legal business name:** JERSEY COMMUNITY HOSPITAL
- **Authorized official:** MICHELLE HOPPER (CFO)
- **Authorized official phone:** (618) 498-8349

## Contact information

- **Practice address:** 390 MAPLE SUMMIT RD, ILLINI BLDG, JERSEYVILLE, IL 62052-2000
- **Practice address phone:** (618) 498-2101
- **Practice address fax:** (618) 498-8153
- **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 |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0001156 | IL | Yes |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 02/19/2025