# GRAHAM REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacksboro Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003965260
- **Authorized official:** BONNIE BLEVINS (CFO)
- **Authorized official phone:** (940) 549-3400

## Contact information

- **Practice address:** 611 N 4TH ST, JACKSBORO, TX 76458-1113
- **Practice address phone:** (940) 549-3400
- **Mailing address:** PO BOX 1390, GRAHAM, TX 76450-1390
- **Mailing address phone:** (940) 549-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 458585 | TX | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 09/09/2010