# JACK COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avir at Jacksboro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396798583
- **Authorized official:** MR. FRANK BEAMAN (CEO)
- **Authorized official phone:** (940) 567-6633

## Contact information

- **Practice address:** 211 E JASPER ST, JACKSBORO, TX 76458-1848
- **Practice address phone:** (940) 567-2686
- **Practice address fax:** (940) 567-5038
- **Mailing address:** 211 E JASPER ST, JACKSBORO, TX 76458-1848

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 03/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004888 | FACILITY ID NO. | TX |