SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER


Address: 1712 North Access Road, Clyde, TX 79510
Phone: 3258934010

SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER (NPI# 1215205265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215205265
Entity Type Organization
Organization Name SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Other Organization Name RESOURCECARE CLYDE
Practice Address 1712 North Access Road
Clyde
TX 79510
Mailing Address Po Box 2435
Albany
TX 76430-8020
Practice Telephone 3258934010
Practice Fax Number 3258934035
Mailing Telephone 3257622447
Mailing Fax Number 3257622186
Enumeration Date 2011-12-06
Last Update Date 2012-10-30
Authorized Official Name MRS. TINA LOUISE BETCHER (BILLING MANAGER/CREDENTIALER)
Authorized Official Telephone 3258934010
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 287755701 05

Other Provider/Organization Names

Other Name Type Code
ResourceCare Clyde Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194804278 Shackelford County Community Resource Center Clinic/Center 725 Pate Street, Albany, TX 76430 2006-11-02
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
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

Office Location

Street Address 1712 NORTH ACCESS ROAD
City CLYDE
State TX
Zip Code 79510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578552857 Trudy Lennette Smith Physician Assistant 1712 North Access Road, Clyde, TX 79510 2005-10-19
1730570698 Pamela Williams Counselor 1712 North Access Road, Clyde, TX 79510-0679 2015-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093114688 Rebecca A. Schowengerdt Physician Assistant 1712 N Access Road, Clyde, TX 79510 2014-08-19
1134425986 Kameko Hazley Mcguire Nurse Practitioner 1712 N. Access Rd, Clyde, TX 79510 2011-01-26
1861680886 Clyde Cons Isd Local Education Agency (LEA) 526 Shalimar, Clyde, TX 79510 2007-10-04
1003020058 William Michael Walton Dentist 113 Hunt Street, Clyde, TX 79510 2007-05-09
1558411728 Citizens Emergency Medical Service Emergency Medical Technician, Paramedic 815 South 2nd, Clyde, TX 79510 2007-01-11
1669775102 Martin D Gonzalez Nurse Practitioner 1712 N Access Rd, Clyde, TX 79510 2010-12-06
1982642708 Katherine Jean Robinson Physician Assistant 1712 N Access Rd, Clyde, TX 79510 2006-06-03
1023056272 Billy W. Carpenter Family Medicine 1712 N Access Rd, Clyde, TX 79510 2006-06-02
1407960180 Citizens Emergency Medical Service Inc. Ambulance 815 S. Second, Clyde, TX 79510-0000 2006-08-18
1962524298 Cindy Kay Adams Physical Therapist 7451 Cr 254, 7451 Cr 254, Clyde, TX 79510-0246 2007-04-06
Find all providers in zip 79510

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1366043689 Legacy Community Health Services, Inc. Clinic/Center 1900 Strawn Rd., Houston, TX 77039-2017 2020-11-03
1275134595 Legacy Community Health Services, Inc Clinic/Center 507 Crenshaw Rd., Houston, TX 77034-1543 2020-11-03
1912508235 Legacy Community Health Services, Inc Clinic/Center 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 2020-11-03
1720688534 Barrio Comprehensive Family Health Care Center, Inc. Clinic/Center 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 2020-10-30
1053918516 Legacy Community Health Services, Inc. Clinic/Center 13703 Aldine Westfield Rd, Houston, TX 77039-2001 2020-10-07
1205449386 Matagorda Episcopal Health Outreach Program Clinic/Center 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 2020-08-28
1568075638 Matagorda Episcopal Health Outreach Program Clinic/Center 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 2020-08-28
1144831835 Matagorda Episcopal Health Outreach Program Clinic/Center 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 2020-08-14
1780295741 East Texas Border Health Clinic Clinic/Center 705 S Grove St, Marshall, TX 75670-5220 2020-08-13
Find all providers with the same taxonomy

Competitor

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City CLYDE
Zip Code 79510

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Dataset Information

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.

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