FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC
NPI 1013909936
Clinic/Center - Rural Health in Jacksboro, TX

NPI Status: Active since August 17, 2005

Contact Information

215 CHISHOLM TRL
JACKSBORO, TX
ZIP 76458
Phone: (940) 567-6633
Fax: (940) 567-2895

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  • Organization
  • Clinic/Center
  • Rural Health

About FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC

Faith Community Hospital Rural Health Clinic is a primary care provider established in Jacksboro, Texas operating as a Clinic/center with a focus in rural health . The healthcare provider is registered in the NPI registry with number 1013909936 assigned on August 2005. The practitioner's primary taxonomy code is 261QR1300X with license number 100322 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Faith Community Hospital Rural Health Clinic. The authorized official of this NPI record is Kim Lee (Coo)

NPI
1013909936
Provider Legal Name
JACK COUNTY HOSPITAL DISTRICT
Other Organization Name
FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
215 CHISHOLM TRL JACKSBORO, TX 76458
Location Phone
(940) 567-6633
Location Fax
(940) 567-2895
Mailing Address
215 CHISHOLM TRL JACKSBORO, TX 76458
Mailing Phone
(940) 567-6633
Mailing Fax
(940) 567-2895
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
08-17-2005
Last Update Date
07-21-2022
Code Navigator

A primary care provider (PCP) like Faith Community Hospital Rural Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
100322
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

000046 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Connected Silver - PPO
    • Connected Silver (QualChoice) - POS
    • Connected Silver (QualChoiceLife) - PPO
    • Connected Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Gold - EPO
    • Elite Gold + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
  • Ambetter from Superior HealthPlan

    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
    • Elite Bronze + Vision + Adult Dental - PPO
    • Elite Gold - PPO
    • Elite Gold + Vision + Adult Dental - PPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) - HMO
    • UHC Bronze Value HSA - HMO
    • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin) - HMO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision) - HMO
    • UHC Gold Standard - HMO
    • UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) - HMO
    • UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin) - HMO
    • UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM LEE

Authorized Official Title
COO
Authorized Official Phone
(940) 567-6633

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
092126403MEDICAID (05)TX 
092126401MEDICAID (05)TX 
092126402MEDICAID (05)TX 

Reviews for FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013909936
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231801896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 8 + 0 + 1 + 8 + 9 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1013909936 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518109040MRS. LARA MARINA PIERCE MD
Individual
Family Medicine215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-5528
1841660560 BECKY MATLOCK
Individual
Counselor (Professional)215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1164687620 BRENT SHEPHERD M.D.
Individual
Family Medicine215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-5528
1336651710GLOBAL FAMILY PRACTICE, PLLC
Organization
Family Medicine215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 217-5969
1316418809ROBERT COOPER, M.D., PA
Organization
Family Medicine215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-5528
1780927707DR. ROBERT COOPER M.D.
Individual
Family Medicine215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1710117833MS. DEBBIE LYNN YOUNG FNP
Individual
Nurse Practitioner (Family)215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1679902092 CATHY GRESHAM FNP-BC
Individual
Nurse Practitioner (Family)215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-5528
1386236164 JESSICA COKER APRN, FNP
Individual
Nurse Practitioner (Family)215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-5528
1790777696JACK COUNTY HOSPITAL DISTRICT
Organization
General Acute Care Hospital215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1306061346 JOHN EDWARD LOCKYER
Individual
Podiatrist (Foot & Ankle Surgery)215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-5528
1154419612JACK COUNTY HOSPITAL DISTRICT
Organization
Clinic/Center (Ambulatory Surgical)215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1790865293JACK COUNTY HOSPITAL DISTRICT
Organization
Medicare Defined Swing Bed Unit215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1538949680MRS. COURTNEY LANETTE CURTNER RN
Individual
Registered Nurse215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633
1396764767 SHAWN L WHITE MD
Individual
Family Medicine215 CHISHOLM TRL
JACKSBORO, TX 76458
(940) 567-6633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013909936, enumerated in the NPI registry as an "organization" on August 17, 2005

The provider is located at 215 Chisholm Trl Jacksboro, Tx 76458 and the phone number is (940) 567-6633

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.