| Shackelford County Health Clinic | |
|
450 Kenshalo St Albany TX 76430-3218 | |
| (325) 762-3661 | |
| (325) 762-3859 |
| Full Name | Shackelford County Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 450 Kenshalo St, Albany, Texas |
| Authorized Official Name and Position | Jera Fairley (SCHD ADMINISTRATOR) |
| Authorized Official Contact | 3257623661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shackelford County Health Clinic Po Box 2470 Albany TX 76430 Ph: (325) 762-3661 | Shackelford County Health Clinic 450 Kenshalo St Albany TX 76430-3218 Ph: (325) 762-3661 |
| NPI Number | 1184942799 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 2567587330 |
|---|---|
| Medicare Enrollment ID | O20100916000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184942799 | NPI | - | NPPES |
| 10135791 | Other | TX | UNITED HEALTHCARE |
| 0071TQ | Other | TX | BCBS |
| 220311901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ray N Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750324836 PECOS PAC ID: 5395709489 Enrollment ID: I20041118000126 |
| Provider Name | Travis R Wilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770513194 PECOS PAC ID: 8527089739 Enrollment ID: I20051215000624 |
| Provider Name | Marifi Calamlam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710211230 PECOS PAC ID: 9234314816 Enrollment ID: I20110425000741 |
| Provider Name | Sunnie J Thiberville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841628385 PECOS PAC ID: 9931339314 Enrollment ID: I20140304001297 |
| Provider Name | Segelle L Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376945170 PECOS PAC ID: 9537484183 Enrollment ID: I20150203000488 |
| Provider Name | Claire G Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912453481 PECOS PAC ID: 3173807997 Enrollment ID: I20170222002744 |
Resourcecare Albany Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 725 Pate St, Albany, TX 76430 Phone: 325-762-2447 Fax: 325-762-2186 | |
Rural Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Kenshalo St., Albany, TX 76430 Phone: 325-762-3661 Fax: 325-762-3859 | |
Big Country Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Kenshalo, Albany, TX 76430 Phone: 325-762-3661 Fax: 325-762-3859 |