National Provider Identifier Database

JACK COUNTY HOSPITAL DISTRICT
General Acute Care Hospital

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.


Contact Information

JACK COUNTY HOSPITAL DISTRICT
215 CHISHOLM TRL
JACKSBORO, TX76458
Phone: 940-567-6633
Fax: 940-567-2895
Website:
Specialty Taxonomy Code
* General Acute Care Hospital 282N00000X
Family Medicine 207Q00000X
Nurse Anesthetist, Certified Registered 367500000X

* Indicates primary specialty

NPI Profile & details for JACK COUNTY HOSPITAL DISTRICT

NPI Number 1790777696
Legal business name
LBN
JACK COUNTY HOSPITAL DISTRICT
Authorized official KIM LEE - (COO)
Entity Organization
Organization subpart No
Enumeration date 08/17/2005
Last updated 09/16/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 000046
  • TX License #: 100322
  • TX Medicaid: 119874902
  • TX Medicaid: 119874903
  • TX Medicaid: 119874904
  • TX Medicaid: 119874905
  • TX Other: HH0054 BC/BS PROVIDER NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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