Organization
MOTHER FRANCES HOSPITAL JACKSONVILLE
Active
Other names
CHRISTUS Mother Frances Hospital - Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HUFF (PROVIDER ENROLLMENT SPECIALIST)
(903) 606-6425
Entity
Organization
Contact information
Practice address
2026 S JACKSON ST, JACKSONVILLE, TX 75766-5822
(903) 541-4500
(903) 541-4679
Mailing address
PO BOX 847522, DALLAS, TX 75284-7522
(903) 541-4500
(903) 541-4679
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
007254
TX
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141858401
—
TX
05
—
141858403
—
TX
05
—
165773601
—
TX
05
—
165773602
—
TX
05
—
199777701
—
TX
01
—
HH0993
BLUE CROSS
TX
Enumeration date
06/17/2005
Last updated
01/12/2022
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