JACK COUNTY HOSPITAL DISTRICT


Address: 211 E Jasper St, Jacksboro, TX 76458-1848
Phone: 9405672686

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 001026254 05
TX FACILITY ID NO. 004888 01

Other Provider/Organization Names

Other Name Type Code
Jacksboro Healthcare Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 211 E JASPER ST
City JACKSBORO
State TX
Zip Code 76458-1848

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174958607 Faith Community Hospital Skilled Nursing Facility 211 E Jasper St, Jacksboro, TX 76458-1848 2013-09-03

Providers in the same taxonomy and state

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
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Competitor

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City JACKSBORO
Zip Code 76458

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Dataset Information

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.

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