| 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  |