Organization
COUNTY OF CLAY
Active
Other names
CCMH Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HAEHN (CHIEF FINANCIAL OFFICER)
(940) 538-5621
Entity
Organization
Contact information
Practice address
102 S ARCHER ST, HENRIETTA, TX 76365-2746
(940) 538-0454
(940) 235-3449
Mailing address
102 S ARCHER ST, HENRIETTA, TX 76365-2746
(940) 538-0454
(940) 235-3449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2013
Last updated
12/19/2025
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