Healthcare Provider Details

I. General information

NPI: 1356567325
Provider Name (Legal Business Name): COUNTY OF CHEROKEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 S BOLTON ST
JACKSONVILLE TX
75766-3360
US

IV. Provider business mailing address

1502 S BOLTON ST
JACKSONVILLE TX
75766-3360
US

V. Phone/Fax

Practice location:
  • Phone: 903-586-6191
  • Fax: 903-586-3572
Mailing address:
  • Phone: 903-586-6191
  • Fax: 903-586-3572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ALLISON K HALE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 903-586-6191