County of Clay

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COUNTY OF CLAY

Doing business as

CCMH Clinics

Practice address

102 S Archer St
Henrietta, TX 76365-2746

Phone

(940) 538-0454

Fax

(940) 235-3449

NPI assigned

Jun 25, 2013

Last updated

Dec 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Haehn

Title

Chief Financial Officer

Phone

(940) 538-5621

Specialties & licenses 3

Addresses

Other names 1

• CCMH Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Clay

  dba Clay County Memorial Hospital

  • Critical Access Hospital
  • Henrietta, TX
  • NPI 1437156361

  O20040701001413

  Same enrollment
• County of Clay

  dba Clay County Memorial Hospital

  • Surgery Physician
  • Henrietta, TX
  • NPI 1639340748

  O20040701001413

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7402/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crhistian Noemi Guerrero, M.D.

  • Family Medicine Physician
  • Henrietta, TX
  • NPI 1346686383
  Medicare reassignment NPD
• Neil M Berry, D.O.

  • Family Medicine Physician
  • Lovington, NM
  • NPI 1063512887

  TX

  Medicare reassignment NPD
• Caraleigh Nicole Buxie, MD

  • Surgery Physician
  • Rockwall, TX
  • NPI 1952577546
  NPD
• Jacob I Jordan, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita Falls, TX
  • NPI 1598002776
  NPD
• William Richard Vandiver, M.D.

  • Orthopaedic Surgery Physician
  • Forney, TX
  • NPI 1750323630
  NPD
• Michael Lee Wanamaker, M.D.

  • Anesthesiology Physician
  • Wichita Falls, TX
  • NPI 1760688915
  NPD
• Margarita C Castro-Zarraga, M.D.

  • Family Medicine Physician
  • Lowell, MA
  • NPI 1578705679
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1013357953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S ARCHER ST",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763652746",
            "telephone_number": "940-538-0454",
            "fax_number": "940-235-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S ARCHER ST",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763652746",
            "telephone_number": "940-538-0454",
            "fax_number": "940-235-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "HAEHN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "940-538-5621"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCMH Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Lynn Benz, RN LMT
• Sue Ann Berend, PH.D.
• Clay County Hospital DME
• Clay County Memorial Hospital
• Clay County Memorial Hospital
• County of Clay (Clay County Memorial Hospital)
• County of Clay (CCMH Clinics)
• County of Clay (Clay County Memorial Hospital)
• County of Clay (Clay County Memorial Hospital)
• County of Clay (Clay County Memorial Hospital)

• Rural Health Clinic/Center in Henrietta, TX
• Providers in Henrietta, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.