SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER (NPI# 1194804278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194804278 |
| Entity Type | Organization |
| Organization Name | SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER |
| Other Organization Name | RESOURCECARE ALBANY |
| Practice Address |
725 Pate Street Albany TX 76430 |
| Mailing Address |
Po Box 2435 Albany TX 76430-8020 |
| Practice Telephone | 3257622447 |
| Practice Fax Number | 3257622186 |
| Mailing Telephone | 3257622447 |
| Mailing Fax Number | 3257622186 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | TINA LOUISE BETCHER (BILLING MANAGER/CREDENTIALER) |
| Authorized Official Telephone | 3258934010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
30117281979 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 171901503 | 05 | |
| TX | 171901504 | 05 | |
| TX | 171901505 | 05 | |
| TX | 287755701 | 05 | |
| TX | 214962701 | 05 |
| Other Name | Type Code |
|---|---|
| ResourceCare Albany | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184096273 | Shackelford County Community Resource Center | Clinic/Center | 217 Edwards, Merkel, TX 79536-3803 | 2015-10-28 |
| 1437551710 | Shackelford County Community Resource Center | Clinic/Center | 200 N Main St, Cross Plains, TX 76443-3312 | 2014-09-18 |
| 1215205265 | Shackelford County Community Resource Center | Clinic/Center | 1712 North Access Road, Clyde, TX 79510 | 2011-12-06 |
| 1417248824 | Shackelford County Community Resource Center | Clinic/Center | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2011-04-20 |
| 1881985299 | Shackelford County Community Resource Center | Clinic/Center | 301 S Main St, Cross Plains, TX 76443-2581 | 2011-04-20 |
| 1073749784 | Shackelford County Community Resource Center | Clinic/Center | 128 W 4th St, Baird, TX 79504-5314 | 2009-06-09 |
| Street Address |
725 PATE STREET |
| City | ALBANY |
| State | TX |
| Zip Code | 76430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381164 | Albany Physical Therapy Ltd Co | Physical Therapist | 445 Kenshalo St, Albany, TX 76430 | 2020-03-13 |
| 1134556764 | Phyllis K. Curry L.L.C. | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2013-09-27 |
| 1598960734 | Teresa Janel Naron | Occupational Therapy Assistant | 724 Baird Highway 283, Albany, TX 76430 | 2007-06-18 |
| 1952483307 | Shackelford County Hospital District | Clinic/Center | 432 Kenshalo, Albany, TX 76430 | 2006-10-19 |
| 1629007281 | Big Country Family Care | Family Medicine | 450 Kenshalo, Albany, TX 76430 | 2006-07-03 |
| 1750324836 | Ray Neil Gibson | Family Medicine | 450 Kenshalo St, Albany, TX 76430 | 2006-06-14 |
| 1578037586 | Ray Henicke | Pharmacist | 104 S. Main Street, Albany, TX 76430 | 2019-01-14 |
| 1376919977 | Shackelford County Hospital District | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2015-08-18 |
| 1427210897 | Focus Therapies, Pllc | Physical Therapist | 140 Hill Street, Albany, TX 76430 | 2008-06-27 |
| 1538364484 | Tanya Lanay Petree | Physical Therapist | 724 Baird Hwy 283, Albany, TX 76430 | 2007-06-20 |
| Find all providers in zip 76430 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1013422161 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1305 E 2nd Ave, Albany, GA 31705-1315 | 2017-12-12 |
| 1467967588 | Albany Area Primary Health Care, Inc. | Clinic/Center | 4529 Gillionville Rd, Albany, GA 31721-9566 | 2017-12-12 |
| 1770096984 | Cfdshc, Inc | Clinic/Center | 314 South Manning Blvd, Albany, NY 12208-1708 | 2017-11-09 |
| 1942660105 | Whitney M. Young Jr. Health Center, Inc. | Clinic/Center | 10 Dewitt Street, Whitney M. Young Jr. Health Center, Inc., Albany, NY 12207-1300 | 2016-03-02 |
| 1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
| 1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
| 1003287731 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1425 W Oakridge Dr, Albany, GA 31707-5306 | 2015-10-07 |
| 1558743005 | Cumberland Family Medical Center, Inc. | Clinic/Center | 65 High School Dr, Albany, KY 42602-8986 | 2015-06-22 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.