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Organization
SHACKELFORD COUNTY HEALTH CLINIC
Active
Organization
SHACKELFORD COUNTY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI GREEN (DISTRICT ADMINISTRATOR)
(325) 762-3661
Entity
Organization
Contact information
Practice address
450 KENSHALO ST, ALBANY, TX 76430-3218
(325) 762-3661
(325) 762-3859
Mailing address
PO BOX 2470, ALBANY, TX 76430
(325) 762-3661
(325) 762-3859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071TQ
BCBS
TX
01
—
10135791
UNITED HEALTHCARE
TX
05
—
220311901
—
TX
Enumeration date
05/06/2010
Last updated
07/27/2026
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