| Jersey Community Hospital | |
|
2 Myrtle Lane Hardin IL 62047 | |
| (618) 576-9407 | |
| (618) 576-2260 |
| Full Name | Jersey Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Myrtle Lane, Hardin, Illinois |
| Authorized Official Name and Position | Michelle Hopper (CFO) |
| Authorized Official Contact | 6184988349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Community Hospital 390 Maple Summit Rd Jerseyville IL 62052-2000 Ph: (618) 498-7518 | Jersey Community Hospital 2 Myrtle Lane Hardin IL 62047 Ph: (618) 576-9407 |
| NPI Number | 1417352527 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 03/05/2025 |
| Medicare PECOS PAC ID | 4587650445 |
|---|---|
| Medicare Enrollment ID | O20141210001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417352527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0001156 (Illinois) | Primary |
Vicente S. Zata, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Myrtle Lane, Hardin, IL 62047 Phone: 618-576-2416 Fax: 618-576-9298 |