FAITH COMMUNITY HOSPITAL
NPI 1790777696
General Acute Care Hospital in Jacksboro, TX
About Faith Community Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAITH COMMUNITY HOSPITAL (NPI 1790777696) is a healthcare organization registered as a general acute care hospital in Jacksboro, Texas and active in the NPI registry since August 2005. The organization lists Kim Lee, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Faith Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Faith Community Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 33Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1790777696. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider is doing business as Faith Community Hospital.
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 General Acute Care Hospital with taxonomy code 282N00000X.
Is Jack County Hospital District enrolled in Medicare?
Yes. Jack County Hospital District is registered in the Medicare PECOS enrollment system.
When is Jack County Hospital District's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jack County Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 9 Medicare specialties reassign their Medicare billing to Jack County Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (9) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jack County Hospital District accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jack County Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jack County Hospital District was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Faith Community Hospital · NPI 1790777696
General Acute Care Hospital organization in Jacksboro, Texas. Organization record, active in the CMS NPPES registry since August 17, 2005.
## Identity
- **NPI:** 1790777696 (Entity type: Organization)
- **Enumerated:** August 17, 2005
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Legal business name:** Jack County Hospital District
- **Organization subpart:** No
- **Authorized official:** Kim Lee, COO
## Practice location
- **Address:** 215 CHISHOLM TRL, Jacksboro, TX 76458
- **Phone:** (940) 567-6633 · **Fax:** (940) 567-2895
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 33 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (9), Certified Registered Nurse Anesthetist (CRNA) (3); 5 practice at this address; [full list](https://npiprofile.com/npi/1790777696/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2021
- **Other identifiers:** Medicaid 119874903 (TX); Medicaid 119874905 (TX); Medicaid 119874902 (TX); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790777696) · Data from the CMS NPPES public registry.