Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
Jackson HealthCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ASA B WILSON (ADMINISTRATOR/CEO)
(361) 782-5241
Entity
Organization
Contact information
Practice address
1013 S WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-5241
Mailing address
1013 S WELLS STREET, EDNA, TX 77957-4098
(361) 782-5241
(361) 782-5241
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012849
—
TX
Enumeration date
10/18/2006
Last updated
07/20/2010
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