OrganizationActive
Jack County Hospital District
NPI 1154419612 · Ambulatory Surgical Clinic/Center · Jacksboro, TX
Provider details
- NPI number
- 1154419612
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Lee, Coo(940) 567-6633
- License
- 119874903 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 Chisholm Trl
Jacksboro, TX 76458-1403
Phone: (940) 567-6633
Fax: (940) 567-2895
Approximate (ZIP-level) locationGet directions
Mailing address
215 Chisholm Trl
Jacksboro, TX 76458-1403
Other names (DBA / former)
- Doing business as
- Faith Community Hospital Amb Surg
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.