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 76458-1403
(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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
100322
TX
275N00000X
Medicare Defined Swing Bed Hospital Unit
45U241
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790865293
NPI
TX
Enumeration date
10/17/2006
Last updated
07/21/2022
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