Faith Community Hospital Rural Health Clinic
LBN: Jack County Hospital District
Faith Community Hospital Rural Health Clinic is an health care organization with primary practice located at 215 Chisholm Trl , Jacksboro TX 76458-1403. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Jack County Hospital District can be contacted via phone (940) 567-6633, or through Lee, Kim via phone (940) 567-6633.
Contact Information
Primary practice address
215 Chisholm Trl
Jacksboro TX 76458-1403
Phone: (940) 567-6633
Fax: (940) 567-2895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 000046 | Texas |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 100322 | Texas |
Profile Details
| NPI number | 1013909936 |
|---|---|
| LBN Legal business name | Jack County Hospital District |
| DBA Doing business as | Faith Community Hospital Rural Health Clinic |
| Authorized official | Lee, Kim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013909936 | NPPES |
| Texas | MEDICAID | 092126401 | |
| Texas | MEDICAID | 092126402 | |
| Texas | MEDICAID | 092126403 |
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