Whalio Doctors

NPI 1790777696

Jack County Hospital District

Organisation General Acute Care Hospital Jacksboro, TX

Practice location

Address
215 Chisholm Trl, Jacksboro, TX 76458
Phone
(940) 567-6633
Fax
(940) 567-2895
Mailing address
215 Chisholm Trl, Jacksboro, TX 76458-1403

Authorised official

Name
Kim Lee
Title
Coo
Phone
(940) 567-6633

Registered specialties (4)

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

Registry record

NPI
1790777696
Entity type
Organization
NPI issued
17 Aug 2005
Record last updated
16 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.