Organization Active NPI

Cherokee County

Doing business as Cherokee County Health Department

  • Public Health or Welfare Agency
  • Jacksonville, TX
National Provider Identifier
1386047629
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CHEROKEE COUNTY
Doing business as
Cherokee County Health Department
Practice address
803 College Ave
Jacksonville, TX 75766-2936
Phone
(903) 586-6191
Fax
(903) 586-3572
NPI assigned
Oct 1, 2014
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Allison K Hale, B.S C.M
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

803 College Ave
Jacksonville, TX 75766-2936

Mailing address

803 College Ave
Jacksonville, TX 75766-2936
Phone (903) 586-6191

Other names 1

  • Cherokee County Health Department 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
This NPI is an additional NPI on the 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.

National Provider Directory

National Provider Directory

Locations

803 College Ave
Jacksonville, TX 75766
Phone (903) 586-6191

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1386047629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 COLLEGE AVE",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662936",
            "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": "803 COLLEGE AVE",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662936",
            "telephone_number": "903-586-6191",
            "fax_number": "903-586-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "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",
        "authorized_official_credential": "B.S C.M"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherokee County Health Department",
            "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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.