JERSEY COMMUNITY HOSPITAL (NPI# 1710461777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710461777 |
| Entity Type | Organization |
| Organization Name | JERSEY COMMUNITY HOSPITAL |
| Other Organization Name | JCH MEDICAL EQUIPMENT |
| Practice Address |
400 Maple Summit Rd Suite 100 Jerseyville IL 62052-2028 |
| Practice Telephone | 6184988462 |
| Practice Fax Number | 6184988463 |
| Mailing Telephone | 6184988462 |
| Mailing Fax Number | 6184988463 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | BETH KING (CFO) |
| Authorized Official Telephone | 6184988350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| DME | Other Name - Individual/Organization |
| JCH Medical Equipment | Doing Business As Name - 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 |
| 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 |
| 1689079642 | Jersey Community Hospital | Clinic/Center | 523 S Main St, Carrollton, IL 62016-1256 | 2014-11-03 |
| 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 |
400 MAPLE SUMMIT RD SUITE 100 |
| City | JERSEYVILLE |
| State | IL |
| Zip Code | 62052-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461523 | Larry Duane Rawlings | Nurse Anesthetist, Certified Registered | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2005-07-20 |
| 1295361533 | Amanda Leigh Ruyle-ryan | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2020-03-18 |
| 1255981528 | Stacy Rae Marriott | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2019-09-18 |
| 1659939049 | Erinn E Hileman | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2019-05-31 |
| 1801359575 | Kristin Anne Kilpatrick | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2019-04-10 |
| 1922492271 | Julie Ann Jackson | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2015-03-25 |
| 1508258393 | Lindsey Buckles | Physician Assistant | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2015-03-03 |
| 1023369097 | Omar Mudallal | Internal Medicine | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2012-09-30 |
| 1114235603 | Advanced Imaging Consultants LLC | Radiology | 400 Maple Summit Rd, Radiology Dept, Jerseyville, IL 62052-2028 | 2010-09-17 |
| 1194950816 | Beth Ann Dalrymple-woods | Nurse Practitioner | 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 2009-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265666 | Lauren Mccarthy | Podiatrist | 400 Maple Summit Rd Suite 200, Jerseyville, IL 62052 | 2017-06-27 |
| 1851757488 | German Insurance Agency | Local Education Agency (LEA) | 850 S State Street, Jerseyville, IL 62052 | 2016-01-12 |
| 1942584230 | Thomas G Honke | Pharmacist | 705 South State, Walgreens, Jerseyville, IL 62052 | 2011-10-05 |
| 1861786493 | Pain Relief Center | Clinic/Center | 903 South State Street, Jerseyville, IL 62052 | 2011-05-31 |
| 1902058845 | Ronald Lee Schroeder | Obstetrics & Gynecology | 1211 West Carpenter, Jerseyville, IL 62052 | 2008-10-22 |
| 1760696116 | Rebecca Elaine Alexander | Massage Therapist | 1301 S State St, Jerseyville, IL 62052 | 2007-05-09 |
| 1205950540 | Charles C Alexander | Chiropractor | 1301 S State, Jerseyville, IL 62052 | 2007-03-19 |
| 1902816358 | Kirk William Schultz | Chiropractor | 519 South State Street, Jerseyville, IL 62052 | 2006-08-08 |
| 1235119652 | Batool N Vali | Obstetrics & Gynecology | 1702 W. County Road, Jerseyville, IL 62052 | 2006-01-20 |
| 1649270729 | Jersey County Health Department | Public Health or Welfare | 1307 State Highway 109, Jerseyville, IL 62052 | 2005-07-29 |
| Find all providers in zip 62052 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942684287 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 303 S State St, Jerseyville, IL 62052-1852 | 2015-07-16 |
| 1104847375 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 705 S State St, Jerseyville, IL 62052-2340 | 2006-07-22 |
| 1437176799 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1316 S State St, Jerseyville, IL 62052-3617 | 2006-07-16 |
| 1114915675 | Jerseyville Nursing and Reahbilitation Center, Inc | Durable Medical Equipment & Medical Supplies | 1001 S State St, Jerseyville, IL 62052-2361 | 2005-10-10 |
| 1154873537 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 903 S State St, Jerseyville, IL 62052-2344 | 2016-11-01 |
| 1578901930 | Illini Medical Associates, Sc | Durable Medical Equipment & Medical Supplies | 390 Maple Summit Rd, Jerseyville, IL 62052-2000 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | JERSEYVILLE |
| Zip Code | 62052 |
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.