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Organization
COUNTY OF CLAY
Active
Organization
COUNTY OF CLAY
Active
Other names
Clay County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STEVEN ELLZEY (INTERIM CEO)
(940) 235-1200
Entity
Organization
Contact information
Practice address
310 W SOUTH ST, HENRIETTA, TX 76365-3346
(940) 235-1202
(940) 235-1215
Mailing address
310 W SOUTH ST, HENRIETTA, TX 76365-3346
(940) 235-1202
(940) 235-1215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094138701
—
TX
05
—
094138703
—
TX
Enumeration date
03/17/2008
Last updated
04/13/2026
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