JACKSON COUNTY HOSPITAL DISTRICT NPI 1124061882

NPI Information

  • NPI: 1124061882
  • Provider Name: JACKSON COUNTY HOSPITAL DISTRICT
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Doing Business As: JACKSON HEALTHCARE CENTER
  • Address: 1013 SOUTH WELLS STREET
    EDNA, TX
    ZIP 77957
  • Phone: (361) 782-5241

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NPI Details

JACKSON COUNTY HOSPITAL DISTRICT is a critical access general acute care hospital in Edna, TX. JACKSON COUNTY HOSPITAL DISTRICT NPI is 1124061882. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Healthcare Center.

The provider's business location address is:

1013 SOUTH WELLS STREET
EDNA, TX
ZIP 77957-098
Phone: (361) 782-5241
Fax: (361) 782-5241

The provider's authorized official is Asa B Wilson .
The authorized official title is Administrator/ceo and has the following contact phone number (361) 782-5241.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical Access000017TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1121808305MEDICAIDTEXAS
2451363MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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