Jacksonville Hospital LLC

NPI #1770082299 in Rusk, Texas

Provider Information

NPI Number
1770082299
Entity Type
Organization
Organization Name
Jacksonville Hospital LLC
Subpart
Yes (part of a larger organization)
Parent Organization
AHS EAST TEXAS HEALTH SYSTEM, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Feb 10, 2018
Last Updated
Oct 1, 2023

Practice Location

Address
1325 N DICKINSON DR
City
Rusk
State
Texas
ZIP Code
75785-1051
Phone
(903) 583-3600

Authorized Official

Name
STEPHEN C PETROVICH
Title
EVP
Phone
(615) 296-3000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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