Organization
CLAY COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF HUSKEY (CEO ADMINISTRATOR)
(940) 538-5621
Entity
Organization
Contact information
Practice address
310 W SOUTH ST, HENRIETTA, TX 76365-3346
(940) 538-5621
(940) 538-2205
Mailing address
310 W SOUTH ST, HENRIETTA, TX 76365-3346
(940) 538-5621
(940) 538-2205
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041AX
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/29/2006
Last updated
08/22/2020
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