JERSEY COMMUNITY HOSPITAL NPI 1770988735

NPI Information

  • NPI: 1770988735
  • Provider Name: JERSEY COMMUNITY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 14D0433754
  • Address: 414 S STATE ST
    ROODHOUSE, IL
    ZIP 62082
  • Phone: (217) 589-4383

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NPI Details

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 .

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 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 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 3/5/2025.

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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