Organization Name: | JERSEY COMMUNITY HOSPITAL |
NPI Number: | 1659750818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH A KING (CFO) |
Mailing Address: | 270 Maple Summit Rd Jerseyville |
State: | IL US |
Postal Code: | 620522004 |
Phone Number: | 6184987108 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 0001156 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |