Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
Jackson Medical Clinic of Ganado
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLA VANA HENKE (ADMINISTRATOR/CEO)
(361) 782-5241
Entity
Organization
Contact information
Practice address
202 S THIRD STREET, GANADO, TX 77962-1214
(361) 771-3571
(361) 771-3574
Mailing address
1013 SOUTH WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-7495
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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