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Jack County Hospital District

General Acute Care Hospital in Jacksboro, TX · enumerated 2005 · authorized official Kim Lee, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790777696

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Registry record

Entity type Organization (Type 2)
Legal business name Jack County Hospital District
Other name <Unavail>
Practice address 215 Chisholm Trl, Jacksboro, TX, 76458
Fax (940) 567-2895
Enumeration date Aug 17, 2005
Last updated in NPPES Sep 16, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
282N00000X General Acute Care Hospital Hospitals · License 000046 (TX) Secondary
282N00000X General Acute Care Hospital Hospitals · License 100322 (TX) Primary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kim Lee
Title Coo

Other identifiers

Identifier Type State Issuer
119874903 Medicaid TX -
119874904 Medicaid TX -
119874905 Medicaid TX -
119874902 Medicaid TX -
HH0054 Other TX BC/BS PROVIDER NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack County Hospital District?
The NPI for Jack County Hospital District is 1790777696, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jack County Hospital District?
NPPES lists Kim Lee (Coo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-16.