JACK COUNTY HOSPITAL DISTRICT (NPI# 1417489956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417489956 |
| Entity Type | Organization |
| Organization Name | JACK COUNTY HOSPITAL DISTRICT |
| Other Organization Name | FCH RURAL HEALTH CLINIC BOWIE |
| Practice Address |
1010 N Mill St Bowie TX 76230-3120 |
| Mailing Address |
215 Chisholm Trl Jacksboro TX 76458-1403 |
| Practice Telephone | 9405676633 |
| Practice Fax Number | 9405672895 |
| Mailing Telephone | 9405676633 |
| Mailing Fax Number | 9405672895 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-06-23 |
| Authorized Official Name | MR. FRANK L BEAMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9405676633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
100322 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FCH Rural Health Clinic Bowie | 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 |
| 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 |
| 1396798583 | Jack County Hospital District | Skilled Nursing Facility | 211 E Jasper St, Jacksboro, TX 76458-1848 | 2006-05-18 |
| Street Address |
1010 N MILL ST |
| City | BOWIE |
| State | TX |
| Zip Code | 76230-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778332 | Thomas C Conder | Emergency Medicine | 1010 N Mill St, Bowie, TX 76230-3120 | 2005-05-25 |
| 1376830539 | Joshua Mark Evans | Internal Medicine | 1010 N Mill St, Bowie, TX 76230-3120 | 2011-07-07 |
| 1659333060 | Cynthia L Robertson | Nurse Practitioner | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-04-03 |
| 1104887272 | Surinder S Aujla | Surgery | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-03-29 |
| 1346200904 | Gary T Evans | Internal Medicine | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-03-27 |
| 1134189632 | Delbert L Mccaig | Family Medicine | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-03-27 |
| 1093774317 | United Clinics of North Texas, Pllc | Clinic/Center | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761117 | Christopher Penny | Physical Therapy Assistant | 700 Us-287, Bowie, TX 76230 | 2019-10-11 |
| 1306319975 | Nocona Hospital District | Clinic/Center | 108 E Boggess, Saint Jo, TX 76230 | 2019-01-07 |
| 1366926560 | Michael Pendley | Specialist/Technologist | 982 Bluffs Ave, Bowie, TX 76230 | 2018-09-24 |
| 1730662776 | Jennifer Arkfeld | Speech-Language Pathologist | 982 Bluffs St, Bowie, TX 76230 | 2018-09-14 |
| 1023519410 | Amanda Leigh Burkhardt | Licensed Vocational Nurse | 183 Hopson Rd, Bowie, TX 76230 | 2018-02-22 |
| 1174023626 | Brandy Lynn Karr | Licensed Vocational Nurse | 208 Decatur St., Bowie, TX 76230 | 2018-02-20 |
| 1013160654 | Tammy Elaine Nevins | Physical Therapy Assistant | 1101 Rock Street, Bowie, TX 76230 | 2008-10-28 |
| 1336362961 | Robert L St John | Dentist | 307 W Tarrant St, Suite C, Bowie, TX 76230 | 2007-04-11 |
| 1841320736 | Ryan A Laws | Dentist | 118 Lovers Lane, Bowie, TX 76230 | 2007-03-07 |
| 1326178096 | St Jo Texas Meals On Wheels, Inc. | Home Delivered Meals | 501 Pelham St., Bowie, TX 76230 | 2007-03-06 |
| Find all providers in zip 76230 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774317 | United Clinics of North Texas, Pllc | Clinic/Center | 1010 N Mill St, Bowie, TX 76230-3120 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| 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.