JACKSON COUNTY HOSPITAL DISTRICT NPI 1275614794

NPI Information

  • NPI: 1275614794
  • Provider Name: JACKSON COUNTY HOSPITAL DISTRICT
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: JACKSON HEALTHCARE CENTER AMBULATORY SURGERY
  • Address: 1013 S WELLS ST
    EDNA, TX
    ZIP 77957
  • Phone: (361) 782-5241

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NPI Details

JACKSON COUNTY HOSPITAL DISTRICT is an ambulatory surgical clinic center in Edna, TX. JACKSON COUNTY HOSPITAL DISTRICT NPI is 1275614794. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Healthcare Center Ambulatory Surgery.

The provider's business location address is:

1013 S WELLS ST
EDNA, TX
ZIP 77957-098
Phone: (361) 782-5241
Fax: (361) 782-7495

The provider's authorized official is Marcella Vana Henke .
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 10/18/2006 and was last updated on 8/22/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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