NPIMap

Organization Active NPI

Shackelford County Community Resource Center

Doing business as ResourceCare Merkel

  • Federally Qualified Health Center (FQHC)
  • Merkel, TX
National Provider Identifier
1184096273
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Doing business as
ResourceCare Merkel
Practice address
217 Edwards
Merkel, TX 79536-3803
Phone
(325) 928-0014
Fax
(325) 925-1175
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Meagan Michelle Marshall
Title
Cfo
Phone
(325) 762-2447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

217 Edwards
Merkel, TX 79536-3803

Mailing address

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

Other names 1

  • ResourceCare Merkel Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160121000265 TX Part A Provider - Federally Qualified Health Center (FQHC) 8628027174 Practice locations: Merkel, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184096273. Details of each certification follow.

Federally qualified health center certification: CCN 741913

Legal name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Doing business as
RESOURCECARE MERKEL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 19, 2016
Last certification
Jan 19, 2016
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jun 16, 1994 in TX
Enrollment address
217 Edwards
Merkel, TX 79536-3803

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2108086Resourcecare-Merkel217 Edwards Street, Merkel, TX 79536Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Shackelford County Community Resource Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 S Breckenridge Ave
Breckenridge, TX 76424
Phone (325) 762-2447

1612 W Walker St
Breckenridge, TX 76424
Phone (254) 522-3490

2802 W Walker St
Breckenridge, TX 76424
Phone (254) 559-7215

301 S Main St
Cross Plains, TX 76443
Phone (254) 725-4311

217 Edwards
Merkel, TX 79536
Phone (325) 928-0014

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Eileen Piwetz Individual Corporate DirectorMember of the Board of Directors Oct 27, 2022
Karen K Lenz Individual Corporate DirectorMember of the Board of Directors Oct 22, 2015
Melinda Noemi Presley Individual Corporate DirectorBoard Member Oct 22, 2015
Michael Sargent Individual Corporate DirectorMember of the Board of Directors Oct 27, 2022
Jeanie F Stephens Individual Corporate DirectorBoard Member Oct 22, 2015
Ryan Wade Individual Corporate DirectorDirector of Financial Planning May 27, 2025
Joel S Deel Individual Corporate DirectorBoard Member Oct 22, 2015
Eric Varela Individual Corporate OfficerChief Financial Officer Aug 1, 2016
W-2 Managing EmployeeChief Financial Officer Oct 27, 2013
William W Thompson Individual Corporate DirectorBoard President Oct 28, 2021
Scott Clifford Byrd Individual Corporate DirectorBoard Member Oct 28, 2021
Kathleen Tippy Individual Corporate DirectorMember of the Board of Directors Oct 22, 2020
Jeff D Graham Individual Corporate DirectorTreasurer of the Board Jun 25, 2015
Nicki R Harle Individual Corporate DirectorMember of the Board of Directors Oct 22, 2022
Brenda Hernandez Individual Corporate DirectorMember of the Board of Directors Oct 25, 2017
Amy Kelly Individual Corporate DirectorMember of the Board of Directors Oct 26, 2017
Joanne C Paulk Individual Corporate OfficerChief Medical Officer Oct 1, 2022
David Estes Individual Corporate DirectorMember of the Board of Directors Oct 27, 2022
Carrol Kanady Individual Corporate DirectorMember of the Board of Directors Dec 17, 2020
Tina L Betcher Individual W-2 Managing EmployeeBilling Manager Dec 1, 2008
Joel Johnson Individual Corporate DirectorMember of the Board of Directors Oct 27, 2022
Patrick Butler Individual Corporate DirectorCeo Nov 17, 2025
W-2 Managing EmployeeCeo Nov 17, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Resourcecare BairdBaird, TX, CCN 671909 Federally qualified health center Operational/Managerial Control Jun 1, 2011
Resourcecare ClydeClyde, TX, CCN 671976 Federally qualified health center Operational/Managerial Control Feb 1, 2012

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1184096273",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 EDWARDS",
            "city": "MERKEL",
            "state": "TX",
            "postal_code": "795363803",
            "telephone_number": "325-928-0014",
            "fax_number": "325-925-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-762-2447"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ResourceCare Merkel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merkel, TX

Sources for this page

Verify at the official NPI Registry.