NPIMap

Organization Active NPI

Shackelford County Community Resource Center

Doing business as ResourceCare Baird

  • Adult Mental Health Clinic/Center
  • Albany, TX
National Provider Identifier
1073749784
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Doing business as
ResourceCare Baird
Practice address
917 Williams St
Albany, TX 76430-3187
Phone
(325) 238-6096
Fax
(325) 202-2864
NPI assigned
Jun 9, 2009
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mrs. Tina L Betcher
Title
Billing Manager/Credentialer
Phone
(325) 893-4010

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

917 Williams St
Albany, TX 76430-3187

Mailing address

PO Box 2435
Albany, TX 76430-8020
Phone (325) 762-2447

Other practice location 1

4400 Buffalo Gap Rd Ste 2100
Abilene, TX 79606-8734
Phone (325) 238-6096

Other identifiers 1

IdentifierTypeStateIssuer
171901505MedicaidTX

Other names 1

  • ResourceCare Baird Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050121000572 TX Part B Supplier - Clinic/Group Practice 8628027174 Receives reassigned benefits from 26 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baird, TX; Albany, TX; Merkel, TX; Cross Plains, TX; Breckenridge, TX; Clyde, TX
O20090514000255 TX Part A Provider - Federally Qualified Health Center (FQHC) 8628027174 Practice locations: Baird, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073749784. Details of each certification follow.

Federally qualified health center certification: CCN 671909

Legal name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Doing business as
RESOURCECARE BAIRD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 19, 2009
Last certification
Jun 19, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 16, 1994 in TX
Enrollment address
527 Peyton Street, Ste 2a
Baird, TX 79504-4735

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

4400 Buffalo Gap Rd
Ste 2100
Abilene, TX 79606
Phone (325) 238-6096

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen K Lenz Individual Corporate DirectorBoard Member Oct 22, 2015
Melinda Noemi Presley Individual Corporate DirectorBoard Member Oct 22, 2015
Jeanie F Stephens Individual Corporate DirectorVice President of the Board Oct 22, 2015
Ryan Wade Individual Corporate DirectorDirector of Financial Planning May 27, 2025
Joel S Deel Individual Corporate DirectorBoard Member Jun 25, 2015
Eric Varela Individual W-2 Managing EmployeeChief Financial Officer Aug 1, 2016
Operational/Managerial ControlChief Financial Officer Aug 1, 2016
William W Thompson Individual Corporate DirectorBoard Member Oct 28, 2021
Scott Clifford Byrd Individual Corporate DirectorBoard Member Oct 28, 2021
Kathleen Tippy Individual Corporate DirectorBoard Member Oct 22, 2020
Jeff D Graham Individual Corporate DirectorBoard Member Jun 25, 2015
Brenda Hernandez Individual Corporate DirectorBoard Member Oct 25, 2017
Amy Kelly Individual Corporate DirectorBoard Member Oct 26, 2017
Cynthia a Perry Individual Corporate OfficerChief Medical Officer Dec 8, 2014
W-2 Managing EmployeePhysician Sep 12, 2011
Shackelford County Community Resource Center Organization, Baird, TX Operational/Managerial Control Jun 1, 2011
Carrol Kanady Individual Corporate DirectorBoard Member Dec 17, 2020
Tina L Betcher Individual W-2 Managing EmployeeBilling Manager Dec 1, 2008
Patrick Butler Individual Corporate DirectorCeo Nov 17, 2025
W-2 Managing EmployeeCeo Nov 17, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Resourcecare ClydeClyde, TX, CCN 671976 Federally qualified health center Operational/Managerial Control Feb 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1073749784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2435",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "764308020",
            "telephone_number": "325-762-2447",
            "fax_number": "325-762-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 WILLIAMS ST",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "764303187",
            "telephone_number": "325-238-6096",
            "fax_number": "325-202-2864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Buffalo Gap Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796068734",
            "country_code": "US",
            "telephone_number": "325-238-6096",
            "fax_number": "325-202-2864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BETCHER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALER",
        "authorized_official_telephone_number": "325-893-4010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171901505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ResourceCare Baird",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ResourceCare Baird",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, TX

Sources for this page

Verify at the official NPI Registry.