340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH451363-01 JACKSON COUNTY HOSPITAL (Active)
Print
Main Details
Name
JACKSON COUNTY HOSPITAL
Subdivision Name
Jackson Medical Clinic Edna - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451363-01
Medicare Provider Number
451363
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/10/2024
Last Recertification Date
Contacts
Authorizing Official
Jackson County Hospital District
Lance Smiga, CEO
(361) 782-7800
Primary Contact
Jackson County Hospital District
Carrie Folmar, County Indigent Coordinator
(361) 782-7842
Addresses
Street Address
1013 A S. Wells St.
Edna, TX 77957
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session