JERSEY COMMUNITY HOSPITAL NPI 1689079642

NPI Information

  • NPI: 1689079642
  • Provider Name: JERSEY COMMUNITY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 14D0950288
  • Address: 523 S MAIN ST
    CARROLLTON, IL
    ZIP 62016
  • Phone: (217) 942-3326

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NPI Details

JERSEY COMMUNITY HOSPITAL is a rural health clinic center in Carrollton, IL. JERSEY COMMUNITY HOSPITAL NPI is 1689079642. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

523 S MAIN ST
CARROLLTON, IL
ZIP 62016-256
Phone: (217) 942-3326
Fax: (217) 942-9833

The provider's authorized official is Michelle Hopper .
The authorized official title is Cfo and has the following contact phone number (618) 498-8349.

The CLIA number assigned to this NPI record is 14D0950288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2014 and was last updated on 3/5/2025.

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
1261QR1300XClinic/CenterRural Health0001156ILLINOISYes

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: 11/21/2025

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