Shackelford County Health Clinic

LBN: Shackelford County Health Clinic
Shackelford County Health Clinic is an health care organization with primary practice located at 450 Kenshalo St , Albany TX 76430-3218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shackelford County Health Clinic can be contacted via phone (325) 762-3661, or through Fairley, Jera via phone (325) 762-3661.

Contact Information

Primary practice address
450 Kenshalo St Albany TX 76430-3218
Phone: (325) 762-3661
Fax: (325) 762-3859
Website:
Map and Directions
Authorized official contact:
Name: Fairley, Jera
Phone: (325) 762-3661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1184942799
LBN Legal business name Shackelford County Health Clinic
DBA Doing business as
Authorized official Fairley, Jera
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2010
Last updated Dec 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184942799 NPPES
Texas Other 10135791 UNITED HEALTHCARE
Texas Other 0071TQ UNITED HEALTHCARE
Texas MEDICAID 220311901 UNITED HEALTHCARE

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