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Organization
JACK COUNTY HOSPITAL DISTRICT
Active
Organization
JACK COUNTY HOSPITAL DISTRICT
Active
Other names
FAITH COMMUNITY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM LEE (COO)
(940) 567-6633
Entity
Organization
Contact information
Practice address
215 CHISHOLM TRL, JACKSBORO, TX 76458
(940) 567-6633
(940) 567-2895
Mailing address
215 CHISHOLM TRL, JACKSBORO, TX 76458-1403
(940) 567-6633
(940) 567-2895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
282N00000X
General Acute Care Hospital
000046
TX
282N00000X
General Acute Care Hospital
Primary
100322
TX
367500000X
Certified Registered Nurse Anesthetist
—
TX
Other
Enumeration date
08/17/2005
Last updated
09/16/2021
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