| Organization Name: | JACK COUNTY HOSPITAL DISTRICT |
| NPI Number: | 1013909936 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENELL MAY (ELECTRONIC BILLER) |
| Mailing Address: | 717 Magnolia St Jacksboro |
| State: | TX US |
| Postal Code: | 764581111 |
| Phone Number: | 9405676633 |
| Fax Number: | 9405673975 |
| NPI Enumeration Date: | 08/17/2005 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 000046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |