# JACK COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homestead Nursing and Rehabilitation of Collinsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205239266
- **Authorized official:** DAWN JONES (FISCAL SERVICES DIRECTOR)
- **Authorized official phone:** (940) 216-2262

## Contact information

- **Practice address:** 501 N MAIN ST, COLLINSVILLE, TX 76233-5106
- **Practice address phone:** (903) 429-6426
- **Practice address fax:** (903) 429-6240
- **Mailing address:** 215 CHISHOLM TRL, JACKSBORO, TX 76458-1403
- **Mailing address phone:** (940) 567-6633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2014
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 67-5206 | — | TX |