Jersey County Health Department

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JERSEY COUNTY HEALTH DEPARTMENT

Practice address

1307 State Highway 109
Jerseyville, IL 62052-2396

Phone

(618) 498-9565

NPI assigned

Oct 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heidi Carter, RN

Title

Public Health Administrator

Phone

(618) 498-9565

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jersey County Health Department

  • Home Health Agency
  • Jerseyville, IL
  • NPI 1649270729

  O20050330000423

  Same enrollment

Tax ID family

Jersey County Health de2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jersey County Health Department

  • Home Health Agency
  • Jerseyville, IL
  • NPI 1649270729
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1730842873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 STATE HIGHWAY 109",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 STATE HIGHWAY 109",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522396",
            "telephone_number": "618-498-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "618-498-9565",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Community Hospital District (JCH Medical Group)
• Jersey Community Hospital District (jersey community hospital)
• Jersey Community Hospital District (Jersey Community Hospital)
• Jersey County Anesthesia Group LTD
• Jersey County Health Department
• Jersey Family Vision Care, LTD
• Jerseyville Chiropractic and Rehab LLC (Williams Chiropractic)
• Jerseyville Dental Group LLC
• Jerseyville Estates
• Trent Jilg

• Clinic/Center in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.