OrganizationActive
Jacksonville Hospital LLC
NPI 1770082299 · Rural Health Clinic/Center · Rusk, TX
Provider details
- NPI number
- 1770082299
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ahs East Texas Health System, LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp(615) 296-3000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1325 N Dickinson Dr
Rusk, TX 75785-1051
Phone: (903) 583-3600
Fax: (903) 583-3595
Approximate (ZIP-level) locationGet directions
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Registry dates
- Enumerated
- 2018-02-10
- Last updated
- 2023-10-01
- Certified
- 2023-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.