JACKSON COUNTY HOSPITAL DISTRICT


Address: 202 S Third Street, Ganado, TX 77962-1214
Phone: 3617713571

JACKSON COUNTY HOSPITAL DISTRICT (NPI# 1346283033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346283033
Entity Type Organization
Organization Name JACKSON COUNTY HOSPITAL DISTRICT
Other Organization Name JACKSON MEDICAL CLINIC OF GANADO
Practice Address 202 S Third Street
Ganado
TX 77962-1214
Mailing Address 1013 South Wells Street
Edna
TX 77957-4098
Practice Telephone 3617713571
Practice Fax Number 3617713574
Mailing Telephone 3617825241
Mailing Fax Number 3617827495
Enumeration Date 2006-06-13
Last Update Date 2020-08-22
Authorized Official Name MS. MARCELLA VANA HENKE (ADMINISTRATOR/CEO)
Authorized Official Telephone 3617825241
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jackson Medical Clinic of Ganado Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1881815520 Jackson County Hospital District Specialist 3051 6th St, Marianna, FL 32446-1933 2007-05-01

Office Location

Street Address 202 S THIRD STREET
City GANADO
State TX
Zip Code 77962-1214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588692370 Jackson County Hospital District Family Medicine 202 S Third Street, Ganado, TX 77962-1214 2006-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194349217 El Campo Memorial Hospital Internal Medicine 204 4th Street, Ganado, TX 77962 2020-06-04
1396189635 Brookshire Brothers Inc Pharmacy 305 West York, Ganado, TX 77962 2013-04-17
1811025125 Ganado Isd Local Education Agency (LEA) 211 S. Sixth Street, Ganado, TX 77962 2007-02-28
1346394335 City of Ganado Ambulance 112 E Putnam Ave., Ganado, TX 77962 2007-01-23
1992152649 Brittney Richelle Cruse Pharmacist 305 West York, Ganado, TX 77962 2016-05-23
1033301866 Ronald D. Kosanke Physician Assistant 204 S. 4th Street, Ganado, TX 77962-0000 2007-08-15
1780687251 Joe Lynn Bonnot Dentist 114 S 3rd St, Ganado, TX 77962-0302 2005-05-27
1407892698 Jackson County Hospital District Skilled Nursing Facility 107 E Rogers, Ganado, TX 77962-1204 2006-06-22
1154350296 W Sam Williams Jr Md Pa Clinic/Center 204 South 4th Street, Ganado, TX 77962-1210 2006-07-01
1942231824 Wilford Samuel Williams Family Medicine 204 South 4th Street, Ganado, TX 77962-1210 2006-07-06
Find all providers in zip 77962

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013134832 Navajo Health Foundation Clinic/Center Navajo Route 15, Ganado, AZ 86505-0457 2007-04-20
1104043926 Navajo Health Foundation Clinic/Center Arizona Highway 191, Ganado, AZ 86505-0457 2007-04-20
1750508651 Navajo Health Foundation Clinic/Center Arizona Highway 264 & Junction 191, Ganado, AZ 86505-0457 2007-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639776586 West Texas Family Medicine, Pllc Clinic/Center 315 W Cleveland St, Hale Center, TX 79041 2020-10-05
1780298547 Coryell County Memorial Hospital Authority Clinic/Center 498 Avenue E, Moody, TX 76557-3579 2020-08-31
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

Competitor

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City GANADO
Zip Code 77962

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Dataset Information

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.

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