Organization
JERSEY COMMUNITY HOSPITAL
Active
Other names
JCH Medical Group- Jerseyville IV, JCH Medical Group-Jerseyville IV
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HOPPER (CFO)
(618) 498-8349
Entity
Organization
Contact information
Practice address
903 S STATE ST, JERSEYVILLE, IL 62052-2344
(618) 639-9255
(618) 639-8000
Mailing address
PO BOX 405, JERSEYVILLE, IL 62052-0405
(618) 498-8310
(618) 498-8439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
03/05/2025
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