Mother Frances Hospital Jacksonville

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MOTHER FRANCES HOSPITAL JACKSONVILLE

Practice address

2026 S Jackson St
Jacksonville, TX 75766-5822

Phone

(903) 531-4500

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenzie Tarr

Title

Credentialing Specialist

Phone

(903) 531-5185

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Doanld C Whitenack MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mother Frances Hospital Jacksonville

  dba Christus Health-Palestine

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1831070507
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1295869139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 S JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665822",
            "telephone_number": "903-531-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER FRANCES HOSPITAL JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "KENZIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "903-531-5185"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165773601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Valadie Miller
• Chaquarra Lastaysha Mitchell
• Michael Kay Moore, COTA
• Natalie Marie Morgan, FNP-C
• Leslie Anne Moseley, LPC-INTERN, NCC
• Mother Frances Hospital Jacksonville (CHRISTUS Mother Frances Hospital - Jacksonville)
• Shaza Moussa, MD
• MSHC Bonner Street Plaza LLC
• Jessica Lee Murillo, RN
• Amanda Murphy

• Multi-Specialty Clinic/Center in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.