Organization · Type 2 NPI
Shackelford County Community Resource Center
Federally Qualified Health Center (FQHC) · Clyde, TX
NPI number
1215205265
Active
Practice location
1712 North Access Road
Clyde, TX 79510
Fax (325) 893-4035
Mailing address
PO Box 2435
Albany, TX 76430-8020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 30117281979 (TX) |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
About NPI 1215205265
Shackelford County Community Resource Center's National Provider Identifier is 1215205265, issued on Dec 6, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clyde, TX. The record was last updated on Oct 30, 2012.