SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER (NPI# 1881985299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881985299 |
| Entity Type | Organization |
| Organization Name | SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER |
| Other Organization Name | RESOURCECARE CROSS PLAINS |
| Practice Address |
301 S Main St Cross Plains TX 76443-2581 |
| Mailing Address |
Po Box 2435 Albany TX 76430-8020 |
| Practice Telephone | 2547254311 |
| Practice Fax Number | 2547254313 |
| Mailing Telephone | 3257622447 |
| Mailing Fax Number | 3257622186 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | MRS. 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 | 214962701 | 05 |
| Other Name | Type Code |
|---|---|
| ResourceCare Cross Plains | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1073749784 | Shackelford County Community Resource Center | Clinic/Center | 128 W 4th St, Baird, TX 79504-5314 | 2009-06-09 |
| Street Address |
301 S MAIN ST |
| City | CROSS PLAINS |
| State | TX |
| Zip Code | 76443-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215362637 | Codi Etel Astiasaran | Dentist | 301 S Main St, Cross Plains, TX 76443-2581 | 2013-09-04 |
| 1669547568 | Alosha Lajeana Hayes | Nurse Practitioner | 301 S Main St, Cross Plains, TX 76443-2581 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679941116 | City of Cross Plains | Home Delivered Meals | 108 North Main Street., Cross Plains, TX 76443 | 2015-09-14 |
| 1306911318 | John L Humphrey | Family Medicine | 109 N.e. 2nd Street, Cross Plains, TX 76443 | 2006-11-22 |
| 1700929825 | Cross Plains Isd | Local Education Agency (LEA) | 700 N Main St, Cross Plains, TX 76443-2112 | 2007-02-15 |
| 1962592113 | Heart of Texas Internal Medicine Associates, Pa | Family Medicine | 109 North 2nd Street, Cross Plains, TX 76443-2401 | 2006-10-16 |
| 1588617898 | Brownwood Hospital, L.p. | Clinic/Center | 109 Ne 2nd St, Cross Plains, TX 76443-2401 | 2006-05-18 |
| 1750668505 | Rural Pharmacy Solutions | Pharmacy | 109 Ne 2nd St, Cross Plains, TX 76443-2401 | 2011-11-08 |
| 1538777040 | Nicole Augustyniak | Registered Nurse | 325 N Avenue B, Cross Plains, TX 76443-2446 | 2020-07-21 |
| 1487780995 | City of Cross Plains | Ambulance | 116 Nw 2nd St, Cross Plains, TX 76443-2532 | 2007-02-26 |
| 1437551710 | Shackelford County Community Resource Center | Clinic/Center | 200 N Main St, Cross Plains, TX 76443-3312 | 2014-09-18 |
| 1700848850 | Joanne Carpenter Paulk | Family Medicine | 200 N Main St, Cross Plains, TX 76443-3312 | 2006-04-04 |
| Find all providers in zip 76443 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437551710 | Shackelford County Community Resource Center | Clinic/Center | 200 N Main St, Cross Plains, TX 76443-3312 | 2014-09-18 |
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| 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 | ||||
| City | CROSS PLAINS |
| Zip Code | 76443 |
Please comment or provide details below to improve the information on SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER.
| 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.