JACKSONVILLE HOSPITAL LLC is a rural health clinic center in Rusk, TX. JACKSONVILLE HOSPITAL LLC NPI is 1770082299. The provider is registered as an organization entity type.
The provider's business location address is:
1325 N DICKINSON DR
RUSK, TX
ZIP 75785-051
Phone: (903) 583-3600
Fax: (903) 583-3595
The provider's authorized official is Stephen C Petrovich .
The authorized official title is Evp and has the following contact phone number (615) 296-3000.
The CLIA number assigned to this NPI record is 45D2010097 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/10/2018 and was last updated on 10/1/2023.