Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
Jackson Medical Sales and Rentals
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLA VANA HENKE (ADMINISTRATOR/CEO)
(361) 782-5241
Entity
Organization
Contact information
Practice address
1013 SOUTH WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-7495
Mailing address
1013 SOUTH WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-7495
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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