Shackelford County Health Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHACKELFORD COUNTY HEALTH CLINIC

Practice address

450 Kenshalo St
Albany, TX 76430-3218

Phone

(325) 762-3661

Fax

(325) 762-3859

NPI assigned

May 6, 2010

Last updated

Oct 8, 2026By 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

Brandi Green

Title

District Administrator

Phone

(325) 762-3661

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shackelford County Hospital District

  dba Shackelford County EMS

  • Land Ambulance
  • Albany, TX
  • NPI 1952483307

  Member Of

  NPD member

Practitioners 3

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.

• Ray Neil Gibson, DO

  • Family Medicine Physician
  • Albany, TX
  • NPI 1750324836
  Medicare reassignment Care Compare group NPD
• Claire Ware, FNP-C

  • Family Nurse Practitioner
  • Albany, TX
  • NPI 1912453481
  Medicare reassignment Care Compare group NPD
• Travis Ray Wilburn, FNP-C

  • Family Nurse Practitioner
  • Albany, TX
  • NPI 1770513194
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1184942799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2470",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "76430",
            "telephone_number": "325-762-3661",
            "fax_number": "325-762-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 KENSHALO ST",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "764303218",
            "telephone_number": "325-762-3661",
            "fax_number": "325-762-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACKELFORD COUNTY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "325-762-3661"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "10135791",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220311901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071TQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Lee Price, RN, FNP
• Mickey Reves, LPC INTERN
• Sander's Drug Store
• Shackelford County Community Resource Center (ResourceCare Baird)
• Shackelford County Community Resource Center (ResourceCare Albany)
• Shackelford County Hospital District (Sanders Drug Store)
• Shackelford County Hospital District
• Shackelford County Hospital District (Shackelford County EMS)
• Shackelford County Rural Health (Rural Care Clinic)
• Howard Luther Todd, R. PH.

• Family Medicine Physician in Albany, TX
• Providers in Albany, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.