JACKSON COUNTY HOSPITAL DISTRICT (NPI# 1275614794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275614794 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY HOSPITAL DISTRICT |
| Other Organization Name | JACKSON HEALTHCARE CENTER AMBULATORY SURGERY |
| Practice Address |
1013 S Wells St Edna TX 77957-4098 |
| Practice Telephone | 3617825241 |
| Practice Fax Number | 3617827495 |
| Mailing Telephone | 3617825241 |
| Mailing Fax Number | 3617827495 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARCELLA VANA HENKE (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 3617825241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jackson HealthCare Center Ambulatory Surgery | 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 |
| 1992748693 | Jackson County Hospital District | Clinic/Center | 1013a South Wells Street, Edna, TX 77957-4045 | 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 |
| Street Address |
1013 S WELLS ST |
| City | EDNA |
| State | TX |
| Zip Code | 77957-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457432460 | Jackson County Hospital District | Internal Medicine | 1013 S Wells St, Edna, TX 77957-4098 | 2006-10-17 |
| 1487280319 | Wendi Nicole Priesmeyer | Social Worker | 1013 S Wells St, Edna, TX 77957-4045 | 2020-03-23 |
| 1457881591 | Lori Lea Karl | Nurse Practitioner | 1013 S Wells St, Edna, TX 77957-4045 | 2017-06-12 |
| 1689020992 | Molly Breanne Quinn-frankel | Family Medicine | 1013 S Wells St, Edna, TX 77957-4045 | 2016-05-05 |
| 1811372501 | Bruce W Rogers | Pharmacy | 1013 S Wells St, Bldg B, Edna, TX 77957-4045 | 2015-07-23 |
| 1376942318 | Stephanie Cunningham | Nurse Practitioner | 1013 S Wells St, Edna, TX 77957-4045 | 2014-08-15 |
| 1184970816 | Martha Avila-adame | Nurse Practitioner | 1013 S Wells St, Edna, TX 77957-4045 | 2012-07-31 |
| 1710261573 | Jackson County Hospital District | Ambulance | 1013 S Wells St, Edna, TX 77957-4045 | 2011-09-28 |
| 1295975548 | Kara Nicole Mccain | Physical Therapist | 1013 S Wells St, Attn: Physical Therapy Dept, Edna, TX 77957-4045 | 2009-02-26 |
| 1730359456 | Select Physical Therapy Holdings Inc | Clinic/Center | 1013 S Wells St, Edna, TX 77957-4045 | 2008-03-10 |
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| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326785 | Texas Partners Center | Clinic/Center | 3304 Colorado Blvd Ste 203, Denton, TX 76210-6873 | 2020-11-02 |
| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1063024719 | Horizon Surgery Center | Clinic/Center | 2813 Smith Ranch Rd Ste 180, Pearland, TX 77584-5254 | 2020-08-22 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1831714419 | Encor Asc, LLC | Clinic/Center | 103 Whispering Winds Dr, Gunter, TX 75058-2560 | 2020-06-10 |
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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.