Shackelford County Community Resource Center
Clinic/Center, Federally Qualified Health Center (FQHC) in Cross Plains, TX. Organization (NPI-2).
NPI number1881985299
StatusActive
Last updated in NPPESSep 17, 2014
Details
- NPI
- 1881985299
- Entity type
- Organization (NPI-2)
- Legal business name
- Shackelford County Community Resource Center
- Organization subpart
- No
- Enumeration date
- Apr 20, 2011
- Last updated
- Sep 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 30117281979 | TX | Yes |
Other names
- Resourcecare Cross Plains (Doing Business As)
Practice location
301 S Main StCross Plains, TX 76443-2581
Phone 254-725-4311 · Fax 254-725-4313
Mailing address
Po Box 2435Albany, TX 76430-8020
Phone 325-762-2447 · Fax 325-762-2186
Authorized official
Tina Louise Betcher
Billing Manager/Credentialer
3258934010
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