Jackson Medical Clinic Of Edna

LBN: Jackson County Hospital District
Jackson Medical Clinic Of Edna is an health care organization with primary practice located at 1013A South Wells Street , Edna TX 77957-4045. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Jackson County Hospital District can be contacted via phone (361) 782-3560, or through Smiga, Lance Harrison via phone (361) 782-7800.

Contact Information

Primary practice address
1013A South Wells Street Edna TX 77957-4045
Phone: (361) 782-3560
Fax: (361) 782-5627
Website:
Map and Directions
Authorized official contact:
Name: Smiga, Lance Harrison
Phone: (361) 782-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1992748693
LBN Legal business name Jackson County Hospital District
DBA Doing business as Jackson Medical Clinic Of Edna
Authorized official Smiga, Lance Harrison
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated May 9th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992748693 NPPES
Texas MEDICAID 063595501

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