Organization
GRAHAM REGIONAL MEDICAL CENTER
Active
Other names
Jacksboro Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE BLEVINS (CFO)
(940) 549-3400
Entity
Organization
Contact information
Practice address
611 N 4TH ST, JACKSBORO, TX 76458-1113
(940) 549-3400
Mailing address
PO BOX 1390, GRAHAM, TX 76450-1390
(940) 549-3400
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
458585
TX
Other
Enumeration date
01/09/2007
Last updated
09/09/2010
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