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JACK COUNTY HOSPITAL DISTRICT NPI 1336237890


NPI Information

NPI: 1336237890
Provider Name: JACK COUNTY HOSPITAL DISTRICT

Doing Business As: FAITH COMMUNITY HOSPITAL AMBULANCE

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
717 MAGNOLIA ST
JACKSBORO, TX
ZIP 76458
Phone: (940) 567-6633
Get Directions

JACK COUNTY HOSPITAL DISTRICT is an ambulance in Jacksboro, TX. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). JACK COUNTY HOSPITAL DISTRICT NPI is 1336237890. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Community Hospital Ambulance.

The provider's business location address is:

717 MAGNOLIA ST
JACKSBORO, TX
ZIP 76458-111
Phone: (940) 567-6633
Fax: (940) 567-3975

The provider's authorized official is Mary T Gentile .
The authorized official title is Authorized Agent and has the following contact phone number (860) 257-7080.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/22/2011.


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
1341600000XAmbulance119004TEXASYes

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
1119874902MEDICAIDTEXAS
2AMB1192MEDICARE PINTEXAS
3P00981602OTHERTEXASRAILROAD
4450241MEDICARE OSCAR/CERTIFICATIONTEXAS

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

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