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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