SHACKELFORD COUNTY HEALTH CLINIC


Address: 450 Kenshalo St, Albany, TX 76430-3218
Phone: 3257623661

SHACKELFORD COUNTY HEALTH CLINIC (NPI# 1184942799) 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) 1184942799
Entity Type Organization
Organization Name SHACKELFORD COUNTY HEALTH CLINIC
Practice Address 450 Kenshalo St
Albany
TX 76430-3218
Mailing Address Po Box 2470
Albany
TX 76430-8021
Practice Telephone 3257623661
Practice Fax Number 3257623859
Mailing Telephone 3257623661
Mailing Fax Number 3257623859
Enumeration Date 2010-05-06
Last Update Date 2019-12-05
Authorized Official Name JERA FAIRLEY (SCHD ADMINISTRATOR)
Authorized Official Telephone 3257623661
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 220311901 05

Office Location

Street Address 450 KENSHALO ST
City ALBANY
State TX
Zip Code 76430-3218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750324836 Ray Neil Gibson Family Medicine 450 Kenshalo St, Albany, TX 76430 2006-06-14
1629541339 Eric L Neal Pharmacist 450 Kenshalo St, Albany, TX 76430-3218 2019-01-04
1912453481 Claire Ware Registered Nurse 450 Kenshalo St, Albany, TX 76430-3218 2016-08-25

Providers in the same zip code

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
1194804278 Shackelford County Community Resource Center Clinic/Center 725 Pate Street, Albany, TX 76430 2006-11-02
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
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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295558 Mamoon Malik Family Medicine 90 Menands Rd, Albany, NY 12204-1400 2020-11-08
1407492796 American Ecare Family Medicine 3 Computer Dr W Ste 107, Albany, NY 12205-1621 2019-11-21
1124678347 Carehere LLC Family Medicine Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 2019-09-19
1790332831 Granland3 LLC Family Medicine 2622 Dawson Rd, Albany, GA 31707-1609 2019-08-22
1295397065 Cerrito Creek Family Medicine Inc Family Medicine 400 Evelyn Ave., St. 107, Albany, CA 94706 2019-07-02
1487190526 Tracey Anyanwu Family Medicine 539 N Westover Blvd, 133, Albany, GA 31707-1951 2017-01-12
1275911828 St Claire Gitau Sumaili Family Medicine 2403 Osler Ct Ste A, Albany, GA 31707-0205 2015-05-15
1235516071 Daniel Barton Mosher Family Medicine 2605 Willetta St Sw Ste D1, Albany, OR 97321-3481 2015-04-30
1508129214 Alan Shifman Charles Family Medicine 741 Gateview Ave, Albany, CA 94706-1029 2012-06-18
1770840324 Joseph A Kelly Family Medicine 27 Park Ln E, #2, Albany, NY 12204-1960 2012-04-20
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 76430

Improve Information

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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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