Organization
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Active
Other names
ResourceCare Albany
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LOUISE BETCHER (BILLING MANAGER/CREDENTIALER)
(325) 893-4010
Entity
Organization
Contact information
Practice address
725 PATE ST, ALBANY, TX 76430-3225
(325) 762-2447
(325) 762-2186
Mailing address
PO BOX 2435, ALBANY, TX 76430-8020
(325) 762-2447
(325) 762-2186
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
30117281979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171901503
—
TX
05
—
171901504
—
TX
05
—
171901505
—
TX
05
—
214962701
—
TX
05
—
287755701
—
TX
Enumeration date
11/02/2006
Last updated
06/11/2021
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