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JACK COUNTY HOSPITAL DISTRICT NPI 1790865293


NPI Information

NPI: 1790865293
Provider Name: JACK COUNTY HOSPITAL DISTRICT

Doing Business As: FAITH COMMUNITY HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
215 CHISHOLM TRL
JACKSBORO, TX
ZIP 76458
Phone: (940) 567-6633
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JACK COUNTY HOSPITAL DISTRICT is a medicare defined swing bed unit in Jacksboro, TX. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. JACK COUNTY HOSPITAL DISTRICT NPI is 1790865293. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Community Hospital.

The provider's business location address is:

215 CHISHOLM TRL
JACKSBORO, TX
ZIP 76458-403
Phone: (940) 567-6633
Fax: (940) 567-2895

The provider's authorized official is Kim Lee .
The authorized official title is Coo and has the following contact phone number (940) 567-6633.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit45U241TENNESSEENo
2275N00000XMedicare Defined Swing Bed Unit100322TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790865293OTHERTEXASNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.