Jack County Hospital District
General Acute Care Hospital in Jacksboro, TX. Organization (NPI-2).
NPI number1790777696
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1790777696
- Entity type
- Organization (NPI-2)
- Legal business name
- Jack County Hospital District
- Organization subpart
- No
- Enumeration date
- Aug 17, 2005
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 100322 | TX | Yes |
| 207Q00000X | Family Medicine | – | TX | |
| 282N00000X | General Acute Care Hospital | 000046 | TX | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | TX |
Other names
- Faith Community Hospital (Doing Business As)
Practice location
215 Chisholm TrlJacksboro, TX 76458
Phone 940-567-6633 · Fax 940-567-2895
Mailing address
215 Chisholm TrlJacksboro, TX 76458-1403
Phone 940-567-6633 · Fax 940-567-2895
Authorized official
Kim Lee
Coo
9405676633
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