FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC
NPI 1013909936
Clinic/center, Rural Health in Jacksboro,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 17, 2005

Contact Information

215 Chisholm Trl
Jacksboro,
Post Code: 76458
Phone: (940) 567-6633
Fax: (940) 567-2895

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Faith Community Hospital Rural Health Clinic in Jacksboro - Clinic/Center, Rural Health

Faith Community Hospital Rural Health Clinic is a Clinic/Center, Rural Health in Jacksboro, . Faith Community Hospital Rural Health Clinic practices all healthcare services and medical treatments related to Clinic/Center, Rural Health. The NPI Number for Faith Community Hospital Rural Health Clinic is 1013909936. The last update date is 2022-07-21.

Faith Community Hospital Rural Health Clinic's current location address is 215 Chisholm Trl, Jacksboro, . You can contact this provider via phone number (940) 567-6633 and fax number (940) 567-2895. The mailing address for Faith Community Hospital Rural Health Clinic is 215 Chisholm Trl, Jacksboro, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013909936
Provider Legal Name
JACK COUNTY HOSPITAL DISTRICT
Other Organization Name
FAITH COMMUNITY HOSPITAL RURAL HEALTH CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
215 Chisholm Trl, Jacksboro,
Location Phone
(940) 567-6633
Location Fax
(940) 567-2895
Mailing Address
215 Chisholm Trl, Jacksboro, Texas(TX)
Mailing Phone
940-567-6633
Mailing Fax
940-567-2895
Enumeration Date
2005-08-17
Last Update Date
2022-07-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Rural Health

Taxonomy Code
261QR1300X
Type
-
License No.
100322
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 261QR1300X Rural Health Clinic/Center

Clinic/Center, Rural Health

000046 (Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
092126401 MEDICAID (05) Texas (TX)
092126402 MEDICAID (05) Texas (TX)
092126403 MEDICAID (05) Texas (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013909936
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231801896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20231801896
2 + 0 + 2 + 3 + 1 + 8 + 0 + 1 + 8 + 9 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6 6

The NPI number 1013909936 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013909308 LINGERIE LINE LLC
Organization
Durable Medical Equipment & Medical Supplies, Customized Equipment 8209 ROUGHRIDER DR
SAN ANTONIO, Texas (TX)
210-656-4090
1013909258 SRINIVAS N PARANANDI
Individual
Internal Medicine, Cardiovascular Disease 1400 HOSPITAL PARKWAY, SUITE 100
BEDFORD, Texas (TX)
817-545-4550
1013908896 MICHAEL DAY DULLEA
Individual
Radiology, Therapeutic Radiology 3851 ROGER BROOKE DR
FORT SAM HOUSTON, Texas (TX)
210-916-5046
1013908805 ANDRE JOHN OGNIBENE
Individual
Internal Medicine 27671 RAMBLEWOOD ST
SAN ANTONIO, Texas (TX)
830-980-8691
1013908615 PHYSICIANS OF KING'S DAUGHTERS, P.A.
KING'S DAUGHTERS CLINIC
Organization
Durable Medical Equipment & Medical Supplies 1905 SW H K DODGEN LOOP
TEMPLE, Texas (TX)
254-298-2682