NPIMap

Organization Active NPI

Jackson County Hospital District

Doing business as Jackson County Medical Clinic of Ganado

  • Rural Health Clinic/Center
  • Ganado, TX
National Provider Identifier
1679445654
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JACKSON COUNTY HOSPITAL DISTRICT
Doing business as
Jackson County Medical Clinic of Ganado
Practice address
204 S 4TH
Ganado, TX 77962-2105
Phone
(361) 771-3331
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lance Harrison Smiga
Title
Chief Executive Officer
Phone
(361) 235-2982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

204 S 4TH
Ganado, TX 77962-2105

Mailing address

204 S 4TH
Ganado, TX 77962-2105
Phone (361) 771-3331

Other names 1

  • Jackson County Medical Clinic of Ganado Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218001109 TX Part A Provider - Rural Health Clinic 2365423795 Practice locations: Ganado, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679445654. Details of each certification follow.

Rural health clinic certification: CCN 673495

Legal name
JACKSON COUNTY HOSPITAL DISTRICT
Doing business as
JACKSON COUNTY MEDICAL CLINIC OF GANADO
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 5, 2021
Last certification
Jan 4, 2024
Ownership / control type
Non-profit – church related
Most recent change of ownership
Oct 1, 2025 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
204 S 4TH
Ganado, TX 77962-2105
Related CCNs
451363

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0911815Jackson County Medical Clinic of Ganado204 S Fourth Street, Ganado, TX 77962Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

1013 S Wells St
#B
Edna, TX 77957
Phone (361) 782-7800

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chris Lundstrom Individual Corporate OfficerBoard Director Oct 22, 2020
Janet Chanek Individual Corporate OfficerBoard Director-Secretary Dec 20, 2011
Debbie Schneider Individual Corporate OfficerBoard Director Jan 26, 2023
Jim Kaelin Individual Corporate OfficerBoard Director Jun 29, 2020
Jackson County Hospital District Organization, Edna, TX Operational/Managerial Control Oct 1, 2025
Dustin Hicks Individual Corporate OfficerBoard Director Apr 24, 2025
Tammy Gendke Individual Corporate OfficerBoard Director Aug 23, 2018
Lance Smiga Individual Corporate DirectorChief Executive Officer Jan 1, 2025
Jamie Stuhrenberg Individual Corporate OfficerBoard Director May 23, 2024
Mindy Curlee Individual Corporate DirectorComptroller Jan 1, 2025
W-2 Managing EmployeeComptroller Jan 1, 2025
Jimmy Lopez Individual Corporate OfficerBoard Vice President May 12, 2010
David Darilek Individual Corporate OfficerBoard President Dec 13, 2012

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jackson Healthcare CenterEdna, TX, CCN 451363 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2005
Jackson Healthcare CenterEdna, TX, CCN 45Z363 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2005
Jackson County Home HealthEdna, TX, CCN 677103 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 31, 2011
Oct 31, 2011
Jackson County Medical Clinic of EdnaEdna, TX, CCN 458736 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2005

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1679445654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S 4TH",
            "city": "GANADO",
            "state": "TX",
            "postal_code": "779622105",
            "telephone_number": "361-771-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S 4TH",
            "city": "GANADO",
            "state": "TX",
            "postal_code": "779622105",
            "telephone_number": "361-771-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SMIGA",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "361-235-2982",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Medical Clinic of Ganado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ganado, TX

Sources for this page

Verify at the official NPI Registry.