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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