MOTHER FRANCES HOSPITAL - JACKSONVILLE (NPI# 1952306672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952306672 |
Entity Type | Organization |
Organization Name | MOTHER FRANCES HOSPITAL - JACKSONVILLE |
Practice Address |
2026 S Jackson St Jacksonville TX 75766-5822 |
Mailing Address |
Po Box 847522 Dallas TX 75284-7522 |
Practice Telephone | 9035414500 |
Practice Fax Number | 9035414679 |
Mailing Telephone | 9035414500 |
Mailing Fax Number | 9035414679 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2013-04-16 |
Authorized Official Name | SYLVIA R SHAVER (PROVIDER ENROLLMENT COORDINATOR) |
Authorized Official Telephone | 9035101113 |
Authorized Official Credential | CPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
007254 | TX | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 199777701 | 05 | |
TX | BLUE CROSS | HH0993 | 01 |
TX | 165773601 | 05 | |
TX | 141858401 | 05 | |
TX | 141858403 | 05 | |
TX | 165773602 | 05 |
Street Address |
2026 S JACKSON ST |
City | JACKSONVILLE |
State | TX |
Zip Code | 75766-5822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497362198 | Stephanie Davis | Registered Nurse | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2020-09-26 |
1730643032 | Timothy B Different | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2019-01-31 |
1356856652 | Michele Lee Bentoski | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2017-12-08 |
1124562012 | Pamela D Mackay | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2016-12-12 |
1740673557 | Natalie Marie Morgan | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2015-03-18 |
1376956466 | Alison Collins | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-06-05 |
1457771818 | Rita Alumanah | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-04-23 |
1427496025 | Lilika Anique White | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2013-06-05 |
1285920405 | Nirmala Nandini Cheatham | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-06-27 |
1821392606 | Trincare Inc | Clinic/Center | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
Find all providers in zip 75766 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720288921 | Joanne Lynn Brousseau | General Acute Care Hospital | 221 6th Ave S Apt E, Jacksonville, FL 32250-6664 | 2007-07-25 |
1194867390 | Pediatrix,inc | General Acute Care Hospital | 4205 Belfort Rd, 4090, Jacksonville, FL 32216-1471 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
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City | JACKSONVILLE |
Zip Code | 75766 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.