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

Q: What is Jack County Hospital District's NPI number?

The NPI number for Jack County Hospital District is 1013909936. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider is doing business as Faith Community Hospital Rural Health Clinic.

Q: What is Jack County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 17, 2005CLIA 45D0659829 · Accreditation

215 CHISHOLM TRL, JACKSBORO, TX 76458(940) 567-6633(940) 567-2895 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

On this page

About Faith Community Hospital Rural Health Clinic NPPES

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

FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC (NPI 1013909936) is a healthcare organization registered as a rural health in Jacksboro, Texas and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through December 15, 2026 and lists Kim Lee, Coo, as its authorized official.

NPPES Registry Identity

NPI1013909936

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameJACK COUNTY HOSPITAL DISTRICT

Location Address215 CHISHOLM TRLJacksboro, TX 76458-1403

Mailing Address215 Chisholm TrlJacksboro, TX 76458-1403 · (940) 567-6633 · Fax (940) 567-2895

Phone(940) 567-6633

Fax(940) 567-2895

Organization SubpartNo

Authorized OfficialKim LeeCoo · (940) 567-6633

Enumeration DateAugust 17, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1013909936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Licenses✔ Licensed in TX · 100322✔ Licensed in TX · 000046

215 CHISHOLM TRL, Jacksboro, TX 76458

Open in Google Maps ↗

Other Names 1

Doing Business AsFaith Community Hospital Rural Health Clinic

Other Identifiers 3

Medicaid092126403TX

Medicaid092126401TX

Medicaid092126402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D0659829

Faith Community Hospital · Jacksboro, TX

Active · expires Dec 15, 2026

CLIA Number45D0659829

Laboratory TypeHospital

Certificate Effective DateDecember 16, 2024

Certificate Expiration DateDecember 15, 2026

Laboratory DirectorDr. Dennis A. Reinke

Laboratory Phone(940) 567-6633

Laboratory LocationFaith Community Hospital215 Chisolm Street, Jacksboro, TX 76458

CLIA data matches this NPI record on: Name Phone

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.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

JACK COUNTY HOSPITAL DISTRICT

Clinic/Center (Ambulatory Surgical)