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JACKSON COUNTY HOSPITAL DISTRICT
NPI 1457432460
General Practice in Edna, TX

Active since October 17, 2006CLIA 45D2095324 · Waiver
1013 S WELLS ST, EDNA, TX 77957(361) 782-7800(361) 782-7495 Get Directions Write a Review

NPPES record last updated: October 15, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jackson County Hospital District NPPES

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

JACKSON COUNTY HOSPITAL DISTRICT (NPI 1457432460), doing business as Jackson Medical Clinic Physican Group, is a healthcare organization registered as a general practice in Edna, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Asa B Wilson, Adminsitrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1457432460
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJACKSON COUNTY HOSPITAL DISTRICT
Location Address1013 S WELLS STEdna, TX 77957-4098
Mailing Address1013 S Wells StEdna, TX 77957-4098 · (361) 782-7800 · Fax (361) 782-7495
Phone(361) 782-7800
Fax(361) 782-7495
Organization SubpartNo
Authorized OfficialAsa B WilsonAdminsitrator/ceo · (361) 782-7810
Enumeration DateOctober 17, 2006
Last NPPES UpdateOctober 15, 2009
✔ NPI 1457432460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1013 S WELLS ST, Edna, TX 77957
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Other Names 1

Former Legal Business NameJackson Medical Clinic Physican Group

Other Identifiers 4

Medicaid111714501TX
Medicare PIN1457432460TX
Other00U54JTX · Blue Cross
Medicare PIN00U54JTX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2095324

Jackson County Hospital District Ems · Edna, TX
Active · expires May 4, 2027
CLIA Number45D2095324
Laboratory TypeAmbulance
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorBrooke K. Moore
Laboratory Phone(361) 782-7800
Laboratory LocationJackson County Hospital District Ems1008 N Wells, Edna, TX 77957
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY BROOKE SPOON PT, DPT
Physical Therapist (Pediatrics)
1013 S WELLS ST
EDNA, TX 77957
Jackson County (361) 782-7898
DEEPINDER KAUR JUDGE MD
Pediatrics
1013 S WELLS ST, A
EDNA, TX 77957
Jackson County (361) 782-3560
MARTHA AVILA-ADAME FNP-C
Nurse Practitioner
1013 S WELLS ST
EDNA, TX 77957
Jackson County (361) 782-7800
ROBERT W. FARRIS JR. APRN,BC
Nurse Practitioner (Family)
1013 S WELLS ST
EDNA, TX 77957
Jackson County (361) 782-7820
JACKSON COUNTY HOSPITAL DISTRICT
Clinic/Center (Ambulatory Surgical)
1013 S WELLS ST
EDNA, TX 77957
Jackson County (361) 782-5241
MRS. KARA NICOLE MCCAIN PT
Physical Therapist
1013 S WELLS ST, ATTN: PHYSICAL THERAPY DEPT
EDNA, TX 77957
Jackson County (361) 782-7898
STEPHANIE CUNNINGHAM FNP-C
Nurse Practitioner (Family)
1013 S WELLS ST
EDNA, TX 77957
Jackson County (361) 782-7800
LORI LEA KARL FNP-C
Nurse Practitioner (Family)
1013 S WELLS ST
EDNA, TX 77957
Jackson County (361) 782-7820

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 1457432460. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider was formerly known as Jackson Medical Clinic Physican Group.

Where is Jackson County Hospital District located?

Jackson County Hospital District is located at 1013 S Wells St, Edna, TX 77957. The listed phone number is (361) 782-7800.

What is Jackson County Hospital District's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Jackson County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2095324) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson County Hospital District accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jackson County Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson County Hospital District was last updated on October 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.