JERSEY COMMUNITY HOSPITAL NPI 1770988735

NPI Information

NPI: 1770988735
Provider Name: JERSEY COMMUNITY HOSPITAL

Other Name: JCH MEDICAL GROUP-ROODHOUSE

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

Specialization: Rural Health

Address:
414 S STATE ST
ROODHOUSE, IL
ZIP 62082
Phone: (217) 589-4383
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JERSEY COMMUNITY HOSPITAL is a rural health clinic center in Roodhouse, IL. JERSEY COMMUNITY HOSPITAL NPI is 1770988735. The provider is registered as an organization entity type.
The provider Other Name Is Jch Medical Group-roodhouse.

The provider's business location address is:

414 S STATE ST
ROODHOUSE, IL
ZIP 62082-544
Phone: (217) 589-4383
Fax: (217) 589-4409

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 14D0433754 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2014 and was last updated on 3/31/2020.

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

NPI Synchronization or Removal

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