Organization
JACK COUNTY HOSPITAL DISTRICT
Active
Other names
FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LEE (COO)
(940) 567-6633
Entity
Organization
Contact information
Practice address
215 CHISHOLM TRL, JACKSBORO, TX 76458-1403
(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
261QR1300X
Rural Health Clinic/Center
000046
TX
261QR1300X
Rural Health Clinic/Center
Primary
100322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092126401
—
TX
05
—
092126402
—
TX
05
—
092126403
—
TX
Enumeration date
08/17/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us