JACKSON COUNTY HOSPITAL DISTRICT (NPI# 1992748693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992748693 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY HOSPITAL DISTRICT |
| Other Organization Name | JACKSON MEDICAL CLINIC OF EDNA |
| Practice Address |
1013a South Wells Street Edna TX 77957-4045 |
| Mailing Address |
1013 S Wells Street Edna TX 77957-4098 |
| Practice Telephone | 3617823560 |
| Practice Fax Number | 3617825627 |
| Mailing Telephone | 3617827800 |
| Mailing Fax Number | 3617827495 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | LANCE HARRISON SMIGA (ADMINISTRATOR/CFO) |
| Authorized Official Telephone | 3617827800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 063595501 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Medical Clinic of Edna | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
| 1457432460 | Jackson County Hospital District | Internal Medicine | 1013 S Wells St, Edna, TX 77957-4098 | 2006-10-17 |
| 1407892698 | Jackson County Hospital District | Skilled Nursing Facility | 107 E Rogers, Ganado, TX 77962-1204 | 2006-06-22 |
| 1215971478 | Jackson County Hospital District | Emergency Medicine | 1013 S. Wells Street, Edna, TX 77957-4098 | 2006-06-16 |
| 1285677401 | Jackson County Hospital District | Home Health | 918 South Wells Street, Edna, TX 77957-3745 | 2006-06-14 |
| 1346283033 | Jackson County Hospital District | Clinic/Center | 202 S Third Street, Ganado, TX 77962-1214 | 2006-06-13 |
| 1124061882 | Jackson County Hospital District | General Acute Care Hospital | 1013 South Wells Street, Edna, TX 77957-4098 | 2006-06-13 |
| 1083035232 | Jackson County Hospital District | Clinic/Center | 4318 5th Ave, Marianna, FL 32446-2182 | 2013-12-13 |
| 1710261573 | Jackson County Hospital District | Ambulance | 1013 S Wells St, Edna, TX 77957-4045 | 2011-09-28 |
| 1881815520 | Jackson County Hospital District | Specialist | 3051 6th St, Marianna, FL 32446-1933 | 2007-05-01 |
| Street Address |
1013A SOUTH WELLS STREET |
| City | EDNA |
| State | TX |
| Zip Code | 77957-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399330 | Mchenry Lee | Dentist | 118 N Wells St, Edna, TX 77957 | 2006-11-06 |
| 1740377522 | Travis R Phillips | Dentist | 502 North Wells, Edna, TX 77957 | 2006-10-05 |
| 1952417123 | Dawn Rachelle Jalufka | Optometrist | 201 N Wells, Enda, TX 77957 | 2006-08-21 |
| 1033699699 | Kimberly Alvarado | Occupational Therapy Assistant | 1401 W Main St, Edna, TX 77957 | 2018-08-14 |
| 1255468948 | Jackson County Special Services Coop | Local Education Agency (LEA) | 606 Gilbert Street, Edna, TX 77957-0919 | 2007-02-28 |
| 1760455158 | Fmsc Edna Operating Company Lp | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2006-02-08 |
| 1063558526 | Care Inn of Edna LLC | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2007-01-30 |
| 1245760784 | Emilie Faucheu | Dentist | 1006 N Wells St, Edna, TX 77957-2153 | 2017-06-18 |
| 1801813076 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1002 N Wells St, Edna, TX 77957-2153 | 2006-07-16 |
| 1558317172 | Total Renal Care Texas Limited Partnership | Clinic/Center | 1008 N Wells St, Edna, TX 77957-2153 | 2006-05-25 |
| Find all providers in zip 77957 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.