Shackelford County Community Resource Center

NPI #1215205265 in Clyde, Texas

Provider Information

NPI Number: 1215205265
Entity Type: Organization
Organization Name: Shackelford County Community Resource Center
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Dec 6, 2011
Last Updated: Oct 30, 2012

Practice Location

Address: 1712 NORTH ACCESS ROAD
City: Clyde
State: Texas
ZIP Code: 79510
Phone: (325) 893-4010

Authorized Official

Name: MRS. TINA LOUISE BETCHER
Title: BILLING MANAGER/CREDENTIALER
Phone: (325) 893-4010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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