Jack County Hospital District in Jacksboro - Ambulatory Surgical
Jack County Hospital District - NPI 1154419612
Jack County Hospital District is a Ambulatory Surgical in Jacksboro, Texas. Jack County Hospital District practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Jack County Hospital District is 1154419612. The last update date is 2022-07-21.
Jack County Hospital District's current location address is 215 Chisholm Trl, Jacksboro, Texas. You can contact this provider via phone number 9405676633 and fax number 9405672895. The mailing address for Jack County Hospital District is 215 Chisholm Trl, Jacksboro, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack County Hospital District |
|---|---|
| Address | 215 Chisholm Trl, Jacksboro, Texas |
| Phone Number | 9405676633 |
| Fax Number | 9405672895 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Lee Kim |
| Telephone Number | 9405676633 |
NPI Number Detail
| NPI Number | 1154419612 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 215 Chisholm Trl |
|---|---|
| City | Jacksboro |
| State | Texas (TX) |
| Post Code | 764581403 |
| Phone Number | 9405676633 |
| Fax Number | 9405672895 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 119874903 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119874903 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack County Hospital District by the Centers for Medicare & Medicaid Services?
The Jack County Hospital District has been assigned the NPI (National Provider Identifier) 1154419612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jack County Hospital District is geographically located?
The Jack County Hospital District is physically situated at the following location: 215 Chisholm Trl, Jacksboro, TX, 764581403.
What is the area of specialization for Jack County Hospital District, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack County Hospital District is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154419612 to Jack County Hospital District?
The Centers for Medicare & Medicaid Services assigned the 1154419612 to Jack County Hospital District on 2006-10-10.
As of what date were the details related to Jack County Hospital District most recently updated or revised?
The information pertaining to Jack County Hospital District, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.