JACKSONVILLE HOSPITAL LLC
NPI 1306346796
Internal Medicine in Jacksonville, TX

Q: What is Jacksonville Hospital LLC's NPI number?

The NPI number for Jacksonville Hospital LLC is 1306346796. It was assigned to this organization in the NPPES registry on February 13, 2018.

Q: What is Jacksonville Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 13, 2018CLIA 45D0483617 · Accreditation

501 S RAGSDALE ST, JACKSONVILLE, TX 75766(903) 541-5083(903) 541-5068 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacksonville Hospital Llc NPPES

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

JACKSONVILLE HOSPITAL LLC (NPI 1306346796) is a healthcare organization registered as an internal medicine in Jacksonville, Texas and active in the NPI registry since February 2018. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Stephen C Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1306346796

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameJACKSONVILLE HOSPITAL LLC

Location Address501 S RAGSDALE STJacksonville, TX 75766-2434

Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195 · (615) 296-3000 · Fax (615) 296-6227

Phone(903) 541-5083

Fax(903) 541-5068

Organization SubpartNo

Authorized OfficialStephen C PetrovichEvp · (615) 296-3000

Enumeration DateFebruary 13, 2018

✔ NPI 1306346796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

501 S RAGSDALE ST, Jacksonville, TX 75766

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D0483617

Jacksonville Hospital, LLC · Jacksonville, TX

Active · expires Jan 2, 2027

CLIA Number45D0483617

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorSteven Hebert

Laboratory Phone(903) 541-5152

Laboratory LocationJacksonville Hospital, LLC501 South Ragsdale Attn Amanda Kennerly, Jacksonville, TX 75766

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 14

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

CHEROKEE EMERGENCY MEDICINE ASSOCIATES PA

Emergency Medicine