Organization
JCH DIAYSIS CENTER, LLC
Active
Parent organization
BLESSING HOSPITAL
Other names
Jersey Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLESSING HOSPITAL
Authorized official
MRS. LORRIE A HADEN (DIRECTOR REVENU CYCLE MANAGEMENT)
(217) 223-8400
Entity
Organization
Contact information
Practice address
917 S STATE ST, JERSEYVILLE, IL 62052-2344
(618) 498-6402
Mailing address
917 S STATE ST, JERSEYVILLE, IL 62052-2344
(618) 498-6402
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50353
BLUE CROSS
IL
Enumeration date
04/18/2007
Last updated
03/27/2009
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