| Faith Community Hospital Rural Health Clinic | |
|
215 Chisholm Trl Jacksboro TX 76458-1403 | |
| (940) 567-6633 | |
| (940) 567-2895 |
| Full Name | Faith Community Hospital Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 Chisholm Trl, Jacksboro, Texas |
| Authorized Official Name and Position | Kim Lee (COO) |
| Authorized Official Contact | 9405676633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Community Hospital Rural Health Clinic 215 Chisholm Trl Jacksboro TX 76458-1403 Ph: (940) 567-6633 | Faith Community Hospital Rural Health Clinic 215 Chisholm Trl Jacksboro TX 76458-1403 Ph: (940) 567-6633 |
| NPI Number | 1013909936 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4587842315 |
|---|---|
| Medicare Enrollment ID | O20110627000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013909936 | NPI | - | NPPES |
| 092126401 | Medicaid | TX | |
| 092126402 | Medicaid | TX | |
| 092126403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 000046 (Texas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 100322 (Texas) | Primary |
Robert Cooper, M.d., Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-5528 | |
Global Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-217-5969 | |
Physician Services Of Jacksboro Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 N 4th St, Jacksboro, TX 76458 Phone: 817-565-0922 | |
Lara Pierce, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 W Belknap St, Jacksboro, TX 76458 Phone: 940-567-8114 Fax: 940-521-5511 | |
Sushil B. Chokshi, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Belknap St, Jacksboro, TX 76458 Phone: 940-567-2101 Fax: 940-567-5522 | |
Faith Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-6633 Fax: 940-567-2895 |