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JACKSON COUNTY HOSPITAL DISTRICT
NPI 1073696357
Pediatrics in Ganado, TX

Active since October 23, 2006
202 S. THIRD STREET, GANADO, TX 77962(361) 771-3571(361) 771-3574 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Jackson County Hospital District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON COUNTY HOSPITAL DISTRICT (NPI 1073696357), doing business as Jackson Medical Clinic Of Ganado Physician Group, is a healthcare organization registered as a pediatrics in Ganado, Texas and active in the NPI registry since October 2006. The organization lists Marcella Vana Henke, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1073696357
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJACKSON COUNTY HOSPITAL DISTRICT
Location Address202 S. THIRD STREETGanado, TX 77962-1214
Mailing Address1013 S Wells StEdna, TX 77957-4098 · (361) 782-5241 · Fax (361) 782-7495
Phone(361) 771-3571
Fax(361) 771-3574
Organization SubpartNo
Authorized OfficialMarcella Vana HenkeAdministrator/ceo · (361) 782-5241
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1073696357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
202 S. THIRD STREET, Ganado, TX 77962
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Other Names 1

Doing Business AsJackson Medical Clinic Of Ganado Physician Group

Other Identifiers 1

Medicaid85627001TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson County Hospital District's NPI number?

The NPI number for Jackson County Hospital District is 1073696357. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Jackson Medical Clinic of Ganado Physician Group.

Where is Jackson County Hospital District located?

Jackson County Hospital District is located at 202 S. Third Street, Ganado, TX 77962. The listed phone number is (361) 771-3571.

What is Jackson County Hospital District's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jackson County Hospital District was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.