| Jch Medical Group- Jerseyville Iv | |
|
903 S State St Jerseyville IL 62052-2344 | |
| (618) 639-9255 | |
| (618) 639-8000 |
| Full Name | Jch Medical Group- Jerseyville Iv |
|---|---|
| Speciality | Clinic/Center |
| Location | 903 S State St, Jerseyville, Illinois |
| Authorized Official Name and Position | Beth King (CEO) |
| Authorized Official Contact | 6184988350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jch Medical Group- Jerseyville Iv Po Box 405 Jerseyville IL 62052-0405 Ph: (618) 498-8310 | Jch Medical Group- Jerseyville Iv 903 S State St Jerseyville IL 62052-2344 Ph: (618) 639-9255 |
| NPI Number | 1700423696 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 4587650445 |
|---|---|
| Medicare Enrollment ID | O20200430000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700423696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jch Medical Group - Jerseyville Ii Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 Maple Summit Rd, Mcdow Bldg, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 | |
Robert D Childers Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Maple Summit Rd, Ste 300, Jerseyville, IL 62052 Phone: 618-498-8470 Fax: 618-498-8488 | |
Medical Associates Of Jerseyville, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Maple Summit Rd, Mcdow Building, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 | |
Jch Medical Group-jerseyville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Illini Bldg, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
S S Kurella Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Edgewood Ave, Jerseyville, IL 62052 Phone: 618-498-4606 |