| Jackson County Hospital District | |
|
1013 S Wells St Edna TX 77957-4098 | |
| (361) 782-7800 | |
| (361) 782-7495 |
| Full Name | Jackson County Hospital District |
|---|---|
| Speciality | General Practice |
| Location | 1013 S Wells St, Edna, Texas |
| Authorized Official Name and Position | Asa B Wilson (ADMINSITRATOR/CEO) |
| Authorized Official Contact | 3617827810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Hospital District 1013 S Wells St Edna TX 77957-4098 Ph: (361) 782-7800 | Jackson County Hospital District 1013 S Wells St Edna TX 77957-4098 Ph: (361) 782-7800 |
| NPI Number | 1457432460 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457432460 | NPI | - | NPPES |
| 00U54J | Other | TX | BLUE CROSS |
| 111714501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Lake Texana Family Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Wells St, Edna, TX 77957 Phone: 361-782-2223 | |
La Bauve Drug Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E Main St, Edna, TX 77957 Phone: 361-782-3313 | |
Jackson County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013a South Wells Street, Edna, TX 77957 Phone: 361-782-3560 Fax: 361-782-5627 |