NPIMap

Organization Active NPI

Shackelford County Rural Health

  • Family Medicine Physician
  • Albany, TX
National Provider Identifier
1215930342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5335 Issued in TX
Legal business name
SHACKELFORD COUNTY RURAL HEALTH
Practice address
450 Kenshalo St.
Albany, TX 76430-1567
Phone
(325) 762-3661
Fax
(325) 762-3859
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jo Ann Sherman, RMC
Title
Business Manager
Phone
(325) 762-2892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L5335 TX Primary

Addresses

Primary practice location

450 Kenshalo St.
Albany, TX 76430-1567

Mailing address

PO Box 1567
Albany, TX 76430-1567
Phone (325) 762-3661

Other names 1

  • Rural Care Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

450 Kenshalo St
Albany, TX 76430
Phone (325) 762-3661

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215930342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "764301567",
            "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": "764301567",
            "telephone_number": "325-762-3661",
            "fax_number": "325-762-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACKELFORD COUNTY RURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "325-762-2892",
        "authorized_official_credential": "RMC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.