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FAITH COMMUNITY HOSPITAL AMB SURG
NPI 1154419612
Clinic/Center - Ambulatory Surgical in Jacksboro, TX

Active since October 10, 2006
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 09, 2026.

Record update history: Jul 21, 2022, Jun 23, 2017 (2 updates tracked since 2017).

About Faith Community Hospital Amb Surg NPPES

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

FAITH COMMUNITY HOSPITAL AMB SURG (NPI 1154419612) is a healthcare organization registered as an ambulatory surgical in Jacksboro, Texas and active in the NPI registry since October 2006. The organization lists Kim Lee, Coo, as its authorized official.

NPPES Registry Identity

NPI1154419612
Entity TypeOrganization
Primary Taxonomy261QA1903X
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 DateOctober 10, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1154419612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TX · 119874903
215 CHISHOLM TRL, Jacksboro, TX 76458
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Other Names 1

Doing Business AsFaith Community Hospital Amb Surg

Other Identifiers 1

Medicaid119874903TX

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 (Rural Health)
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-6633
BRENT SHEPHERD M.D.
Family Medicine
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-5528
TAYLOR MEDICAL PLLC
Family Medicine
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-6633
JOHN EDWARD LOCKYER
Podiatrist (Foot & Ankle Surgery)
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-5528
ROBERT COOPER, M.D., PA
Family Medicine
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-5528
JENNIFER ARCHER DO
Family Medicine
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-6633
JESSICA COKER APRN, FNP
Nurse Practitioner (Family)
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-5528
SHAWN L WHITE MD
Family Medicine
215 CHISHOLM TRL
JACKSBORO, TX 76458
Jack County (940) 567-6633

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 Jack County Hospital District's NPI number?

The NPI number for Jack County Hospital District is 1154419612. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Faith Community Hospital Amb Surg.

Where is Jack County Hospital District located?

Jack County Hospital District is located at 215 Chisholm Trl, Jacksboro, TX 76458. The listed phone number is (940) 567-6633.

What is Jack County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Jack County Hospital District was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.