JACK COUNTY HOSPITAL DISTRICT (NPI# 1396798583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396798583 |
Entity Type | Organization |
Organization Name | JACK COUNTY HOSPITAL DISTRICT |
Other Organization Name | JACKSBORO HEALTHCARE CENTER |
Practice Address |
211 E Jasper St Jacksboro TX 76458-1848 |
Mailing Address |
717 Magnolia St Jacksboro TX 76458-1111 |
Practice Telephone | 9405672686 |
Practice Fax Number | 9405675038 |
Mailing Telephone | 9405676633 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-10-23 |
Authorized Official Name | FRANK BEAMAN (CEO) |
Authorized Official Telephone | 9405676633 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 001026254 | 05 | |
TX | FACILITY ID NO. | 004888 | 01 |
Other Name | Type Code |
---|---|
Jacksboro Healthcare Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790777696 | Jack County Hospital District | Family Medicine | 215 Chisholm Trl, Jacksboro, TX 76458 | 2005-08-17 |
1235737008 | Jack County Hospital District | Clinic/Center | 1005 State Highway 16 S, Graham, TX 76450-3835 | 2020-10-14 |
1831674209 | Jack County Hospital District | Clinic/Center | 115 E Bypass 287, Alvord, TX 76225-7778 | 2018-10-01 |
1417489956 | Jack County Hospital District | Clinic/Center | 1010 N Mill St, Bowie, TX 76230-3120 | 2017-04-03 |
1316341407 | Jack County Hospital District | Skilled Nursing Facility | 3301 View St, Fort Worth, TX 76103-2425 | 2014-10-17 |
1205239266 | Jack County Hospital District | Skilled Nursing Facility | 501 N Main St, Collinsville, TX 76233-5106 | 2014-10-06 |
1376977017 | Jack County Hospital District | Skilled Nursing Facility | 405 Duncan Perry Rd, Arlington, TX 76011-5412 | 2013-08-29 |
1790865293 | Jack County Hospital District | Medicare Defined Swing Bed Unit | 215 Chisholm Trl, Jacksboro, TX 76458-1403 | 2006-10-17 |
1336237890 | Jack County Hospital District | Ambulance | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2006-10-10 |
1154419612 | Jack County Hospital District | Clinic/Center | 215 Chisholm Trl, Jacksboro, TX 76458-1403 | 2006-10-10 |
Street Address |
211 E JASPER ST |
City | JACKSBORO |
State | TX |
Zip Code | 76458-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053308841 | Jacksboro Health Care Center | Assisted Living Facility | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2005-10-05 |
1174958607 | Faith Community Hospital | Skilled Nursing Facility | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2013-09-03 |
1487849436 | Helen Marie Edwards | Occupational Therapy Assistant | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2007-09-12 |
1093911836 | Eileen Elizabeth Corson | Physical Therapy Assistant | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2007-06-26 |
1083819346 | Rhonda Joleen Hansen | Physical Therapist | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2007-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598274128 | Suzzan Bea Fleming | Nurse Practitioner | 1620 Fm 3344, Jacksboro, TX 76458 | 2017-09-27 |
1790777696 | Jack County Hospital District | Family Medicine | 215 Chisholm Trl, Jacksboro, TX 76458 | 2005-08-17 |
1437157419 | Syed M Jamal | Internal Medicine | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2005-07-13 |
1144629197 | Mackenzie Prince | Registered Nurse | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2014-08-15 |
1093997785 | Babu Hosakote Subrahmanyam | Family Medicine | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2007-12-04 |
1336237890 | Jack County Hospital District | Ambulance | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2006-10-10 |
1104818723 | Faith Community Hospital Home Health | Home Health | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2005-08-19 |
1003965260 | Graham Regional Medical Center | General Acute Care Hospital | 611 N 4th St, Jacksboro, TX 76458-1113 | 2007-01-09 |
1417081688 | Graham Regional Medical Center | General Acute Care Hospital | 611 N 4th St, Jacksboro, TX 76458-1113 | 2007-03-16 |
1376043877 | Ashley Mae Chitwood | Licensed Vocational Nurse | 606 N 6th St, Jacksboro, TX 76458-1117 | 2018-02-20 |
Find all providers in zip 76458 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174958607 | Faith Community Hospital | Skilled Nursing Facility | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2013-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.