JERSEY COMMUNITY HOSPITAL DISTRICT
NPI 1134163827
Family Medicine in Jerseyville, IL
NPI Status: Active since June 15, 2006
Contact Information
400 MAPLE SUMMIT RD
JERSEYVILLE, IL
ZIP 62052
Phone: (618) 498-6402
Fax: (618) 498-8492
NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Mar 5, 2025, Jul 8, 2024, Jul 14, 2023 and 3 more (6 updates tracked since 2020).
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 14D0433690
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2027
About JERSEY COMMUNITY HOSPITAL DISTRICT
This page provides the complete NPI Profile along with additional information for Jersey Community Hospital District, a primary care provider established in Jerseyville, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1134163827 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Jersey Community Hospital District operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Hopper (Cfo)
- NPI
- 1134163827
- Provider Name
- JERSEY COMMUNITY HOSPITAL DISTRICT
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 400 MAPLE SUMMIT RD JERSEYVILLE, IL 62052
- Location Phone
- (618) 498-6402
- Location Fax
- (618) 498-8492
- Mailing Address
- 400 MAPLE SUMMIT RD JERSEYVILLE, IL 62052
- Mailing Phone
- (618) 498-6402
- Mailing Fax
- (618) 498-8492
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 03-05-2025
- Code Navigator
A primary care provider (PCP) like Jersey Community Hospital District sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 414 S State St
Roodhouse, IL 62082
(217) 589-4383 - 903 S State St
Jerseyville, IL 62052
(618) 639-9255 - 220 E County Rd
Jerseyville, IL 62052
(618) 498-2273 - 270 Maple Summit Rd
Jerseyville, IL 62052
(618) 498-2273 - 390 Maple Summit Rd
Jerseyville, IL 62052
(618) 498-2273 - 523 S Main St
Carrollton, IL 62016
(217) 942-3326 - 2 Myrtle Lane
Hardin, IL 62047
(618) 576-9407
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 5 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 6 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 8 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 9 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 10 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 11 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 12 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 14 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0433690
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2025
- Certificate Expiration Date
- November 30, 2027
- Laboratory Director
- JEFFREY WANG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Jersey Community Hospital District on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for JERSEY COMMUNITY HOSPITAL DISTRICT
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134163827, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134163827, enumerated as an "organization" on June 15, 2006.
The provider is located at 400 MAPLE SUMMIT RD JERSEYVILLE, IL 62052 and the phone number is (618) 498-6402.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.
