JERSEY COMMUNITY HOSPITAL NPI 1417352527

NPI Information

NPI: 1417352527
Provider Name: JERSEY COMMUNITY HOSPITAL

Other Name: JCH MEDICAL GROUP-HARDIN

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
2 MYRTLE LANE
HARDIN, IL
ZIP 62047
Phone: (618) 576-9407
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JERSEY COMMUNITY HOSPITAL is a rural health clinic center in Hardin, IL. JERSEY COMMUNITY HOSPITAL NPI is 1417352527. The provider is registered as an organization entity type.
The provider Other Name Is Jch Medical Group-hardin.

The provider's business location address is:

2 MYRTLE LANE
HARDIN, IL
ZIP 62047
Phone: (618) 576-9407
Fax: (618) 576-2260

The provider's authorized official is Beth A King .
The authorized official title is Cfo and has the following contact phone number (618) 498-8350.

The CLIA number assigned to this NPI record is 14D0967594 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2014 and was last updated on 7/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	0001156	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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