Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
Jackson Medical Clinic of Edna
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE HARRISON SMIGA (ADMINISTRATOR/CFO)
(361) 782-7800
Entity
Organization
Contact information
Practice address
1013A SOUTH WELLS STREET, EDNA, TX 77957-4045
(361) 782-3560
(361) 782-5627
Mailing address
1013 S WELLS STREET, EDNA, TX 77957-4098
(361) 782-7800
(361) 782-7495
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063595501
—
TX
Enumeration date
06/13/2006
Last updated
04/28/2025
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