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JACKSBORO RURAL HEALTH CLINIC
NPI 1003965260
General Acute Care Hospital in Jacksboro, TX

Active since January 09, 2007CLIA 45D0485229 · Accreditation
611 N 4TH ST, JACKSBORO, TX 76458(940) 549-3400 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksboro Rural Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSBORO RURAL HEALTH CLINIC (NPI 1003965260) is a healthcare organization registered as a general acute care hospital in Jacksboro, Texas and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through February 26, 2027 and lists Bonnie Blevins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003965260
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameGRAHAM REGIONAL MEDICAL CENTER
Location Address611 N 4TH STJacksboro, TX 76458-1113
Mailing AddressPo Box 1390Graham, TX 76450-1390 · (940) 549-3400
Phone(940) 549-3400
Organization SubpartNo
Authorized OfficialBonnie BlevinsCfo · (940) 549-3400
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 9, 2010
✔ NPI 1003965260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in TX · 458585
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
611 N 4TH ST, Jacksboro, TX 76458
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Other Names 1

Doing Business AsJacksboro Rural Health Clinic

Other Identifiers 1

Medicare ID-Type Unspecified458585TX · Jacksboro Rural Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0485229

Graham Regional Medical Center · Graham, TX
Active · expires Feb 26, 2027
CLIA Number45D0485229
Laboratory TypeHospital
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorDr. Allen Flack
Laboratory Phone(940) 521-5301
Laboratory LocationGraham Regional Medical Center1301 Montgomery Rd, Graham, TX 76450
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM REGIONAL MEDICAL CENTER
General Acute Care Hospital
611 N 4TH ST
JACKSBORO, TX 76458
Jack County (940) 567-3707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graham Regional Medical Center's NPI number?

The NPI number for Graham Regional Medical Center is 1003965260. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is doing business as Jacksboro Rural Health Clinic.

Where is Graham Regional Medical Center located?

Graham Regional Medical Center is located at 611 N 4th St, Jacksboro, TX 76458. The listed phone number is (940) 549-3400.

What is Graham Regional Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Graham Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0485229) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graham Regional Medical Center was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.