Organization Name: | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
NPI Number: | 1912138553 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM G WILSON (PRESIDENT/CEO) |
Mailing Address: | 1001 Us Highway 83 N Childress |
State: | TX US |
Postal Code: | 792012322 |
Phone Number: | 5803796500 |
Fax Number: | 5803796509 |
NPI Enumeration Date: | 07/30/2009 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2500X |
License Number: | 2206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Medical Specialty |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |