Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
Jackson HealthCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASA B WILSON (ADMINISTRATOR/CEO)
(361) 782-5241
Entity
Organization
Contact information
Practice address
1013 SOUTH WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-5241
Mailing address
1013 SOUTH WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-5241
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
000017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121808305
—
TX
Enumeration date
06/13/2006
Last updated
10/27/2009
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