Organization
JACKSONVILLE HOSPITAL LLC
Active
Other names
UTHealth East Texas Jacksonville Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C PETROVICH (EVP AND SECRETARY)
(615) 296-3000
Entity
Organization
Contact information
Practice address
501 S RAGSDALE ST, JACKSONVILLE, TX 75766-2434
(903) 541-5083
(903) 541-5068
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
09/20/2023
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