JERSEY COMMUNITY HOSPITAL (NPI# 1689079642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689079642 |
| Entity Type | Organization |
| Organization Name | JERSEY COMMUNITY HOSPITAL |
| Other Organization Name | JCH MEDICAL GROUP-CARROLLTON |
| Practice Address |
523 S Main St Carrollton IL 62016-1256 |
| Mailing Address |
390 Maple Summit Rd Jerseyville IL 62052-2000 |
| Practice Telephone | 2179423326 |
| Practice Fax Number | 2179429833 |
| Mailing Telephone | 6184987518 |
| Mailing Fax Number | 6184983052 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | MRS. BETH A KING (CFO) |
| Authorized Official Telephone | 6184988350 |
| Is Organization Subpart | Y |
| Parent Organization Name | JERSEY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0001156 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| JCH Medical Group-Carrollton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1770988735 | Jersey Community Hospital | Clinic/Center | 414 S State St, Roodhouse, IL 62082-1544 | 2014-11-03 |
| 1922403096 | Jersey Community Hospital | Obstetrics & Gynecology | 2 Memorial Dr Ste 203, Alton, IL 62002-6723 | 2014-10-30 |
| 1700423696 | Jersey Community Hospital | Family Medicine | 903 S State St, Jerseyville, IL 62052-2344 | 2019-12-10 |
| 1710461777 | Jersey Community Hospital | Durable Medical Equipment & Medical Supplies | 400 Maple Summit Rd, Suite 100, Jerseyville, IL 62052-2028 | 2018-09-17 |
| 1548744501 | Jersey Community Hospital | Social Worker | 220 E County Rd, Jerseyville, IL 62052-3125 | 2018-09-17 |
| 1659750818 | Jersey Community Hospital | Family Medicine | 270 Maple Summit Rd, Jerseyville, IL 62052-2004 | 2015-05-21 |
| 1417352527 | Jersey Community Hospital | Clinic/Center | 2 Myrtle Lane, Hardin, IL 62047 | 2014-10-31 |
| 1114322286 | Jersey Community Hospital | Pediatrics | 1440 W Walnut St, Suite 2a, Jacksonville, IL 62650-1143 | 2014-10-30 |
| 1730584806 | Jersey Community Hospital | Psychiatry & Neurology | 815 E 5th St, Suite 205, Alton, IL 62002-6471 | 2014-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JERSEY COMMUNITY HOSPITAL DISTRICT | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 |
| Street Address |
523 S MAIN ST |
| City | CARROLLTON |
| State | IL |
| Zip Code | 62016-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477092427 | Allison N Sagez | Nurse Practitioner | 523 S Main St, Carrollton, IL 62016-1256 | 2017-02-22 |
| 1427270941 | James Uhles | Pediatrics | 523 S Main St, Carrollton, IL 62016-1251 | 2007-05-03 |
| 1487877130 | Jonnelle D Smith | Emergency Medicine | 523 S Main St, Carrollton, IL 62016-1256 | 2007-04-11 |
| 1932234622 | Illini Medical Associates Sc | Family Medicine | 523 S Main St, Carrollton, IL 62016-1251 | 2007-02-22 |
| 1619934304 | Michael S Mcnear | Family Medicine | 523 S Main St, Carrollton, IL 62016-1251 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209972 | Dee Anna Darr | Speech-Language Pathologist | 109 2nd St, Carrollton, IL 62016 | 2006-08-30 |
| 1023125283 | Lisa A Hart | Chiropractor | 307 6th St, Carrollton, IL 62016 | 2006-08-24 |
| 1972536761 | R Scott Beavers | Dentist | 403 Locust, Carrollton, IL 62016 | 2006-07-08 |
| 1568557593 | Pharmacy Plus Inc | Pharmacy | 508 N Main St, Carrollton, IL 62016-1027 | 2006-10-04 |
| 1912319039 | Ethan Ridenour | Occupational Therapy Assistant | 320 4th Street, Carrollton, IL 62016-1135 | 2014-05-22 |
| 1700148194 | Hamel Chiropractic Clinic LLC | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-12 |
| 1184986754 | Justin Kyle Hamel | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-11 |
| 1275779415 | All Hart Chiropractic Inc | Clinic/Center | 307 6th St, Carrollton, IL 62016-1247 | 2008-12-17 |
| 1891166989 | Alexander Beavers | Dentist | 403 Locust St, Carrollton, IL 62016-1304 | 2015-10-14 |
| 1225038169 | County of Greene | Home Health | 310 5th St, Carrollton, IL 62016-1325 | 2005-07-21 |
| Find all providers in zip 62016 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1255970513 | Orrville Hospital Foundation | Clinic/Center | 1020 Trump Rd Nw Ste 2/4, Carrollton, OH 44615-8422 | 2020-01-03 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1891102323 | Pickens County Medical Center, Inc | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2014-07-16 |
| 1619276367 | Jefferson Medical Group | Clinic/Center | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2011-03-21 |
| 1982891057 | Ccmh Corporation | Clinic/Center | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1275694168 | Carroll County Medical Advisors Lp | Clinic/Center | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1164507604 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 800 School St, Carrollton, IL 62016-1436 | 2006-10-25 |
| 1215030713 | Jefferson Medical Group | Clinic/Center | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2006-09-07 |
| 1740209667 | Tenet Healthsystem Hospitals Dallas, Inc. | Clinic/Center | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2006-07-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 62016 |
Please comment or provide details below to improve the information on JERSEY COMMUNITY HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.