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Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
Jackson HealthCare Center Ambulatory Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA VANA HENKE (ADMINISTRATOR/CEO)
(361) 782-5241
Entity
Organization
Contact information
Practice address
1013 S WELLS ST, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-7495
Mailing address
1013 S WELLS ST, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-7495
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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