Active NPI
County of Cherokee
Doing business as Cherokee County Health Dept
- Public Health or Welfare Agency
- Jacksonville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356567325 | Medicaid | TX | |
| PH0717 | Other | TX | MEDICARE PTAN |
| 130736503 | Medicaid | TX | |
| 130736505 | Medicaid | TX |
Other names 1
- Cherokee County Health Dept
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Cherokee County Health Department
- Public Health or Welfare Agency
- Jacksonville, TX
- NPI 1386047629
O20090716000354
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0926175 | Cherokee County Health Department | Provider-performed microscopy | Feb 19, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Cherokee County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Jacksonville, TX
- NPI 1730398827
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.
-
- Public Health & General Preventive Medicine Physician
- Jacksonville, TX
- NPI 1568689545
-
- Internal Medicine Physician
- Jacksonville, TX
- NPI 1083616403
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
- Compassionate Women's Health PLLC
- Charles Lee Coppock, D.D.S.
- Ariel Nicole Cordova
- Coryell County Memorial Hospital Authority (Gardendale Rehabilitation and Nursing Center)
- Counseling Innovation Services LLC
- Culberson R Boren DDS
- Laurence William Cunningham, D.O.
- Thomas Curtis, MD
- CVS Pharmacy Inc (CVS Pharmacy # 07780)
- Katya Leigh Czaplinski, MD
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.