Organization Active NPI

County of Cherokee

Doing business as Cherokee County Health Dept

  • Public Health or Welfare Agency
  • Jacksonville, TX
National Provider Identifier
1356567325
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CHEROKEE
Doing business as
Cherokee County Health Dept
Practice address
1502 S Bolton St
Jacksonville, TX 75766-3360
Phone
(903) 586-6191
Fax
(903) 586-3572
NPI assigned
Apr 18, 2007
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Allison K Hale
Title
Executive Director
Phone
(903) 586-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

1502 S Bolton St
Jacksonville, TX 75766-3360

Mailing address

1502 S Bolton St
Jacksonville, TX 75766-3360
Phone (903) 586-6191

Other identifiers 4

IdentifierTypeStateIssuer
1356567325MedicaidTX
PH0717OtherTXMEDICARE PTAN
130736503MedicaidTX
130736505MedicaidTX

Other names 1

  • Cherokee County Health Dept Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000354 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7416009857 1 other NPI on this enrollment
Practice locations: Jacksonville, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0926175Cherokee County Health Department1502 S Bolton Street, Jacksonville, TX 75766Provider-performed microscopyFeb 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cherokee County2 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.

Locations

1502 S Bolton St
Jacksonville, TX 75766
Phone (903) 586-6191

510 E Commerce St
Jacksonville, TX 75766
Phone (903) 541-2700

593 N Main St
Rusk, TX 75785
Phone (903) 683-4688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1356567325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S BOLTON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663360",
            "telephone_number": "903-586-6191",
            "fax_number": "903-586-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S BOLTON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663360",
            "telephone_number": "903-586-6191",
            "fax_number": "903-586-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHEROKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-586-6191"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356567325",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PH0717",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130736503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130736505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.