Active NPI
Clay County Memorial Hospital
- Emergency Medical Services (Emergency Medicine) Physician
- Henrietta, TX
National Provider Identifier
1609932086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- CLAY COUNTY MEMORIAL HOSPITAL
- Practice address
- 310 W South St
Henrietta, TX 76365-3346 - Phone
- (940) 538-5621
- Fax
- (940) 538-2205
- NPI assigned
- Dec 29, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeff Huskey
- Title
- Ceo Administrator
- Phone
- (940) 538-5621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
310 W South St
Henrietta, TX 76365-3346
Mailing address
310 W South St
Henrietta, TX 76365-3346
Phone (940) 538-5621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041AX | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Clay County Memorial Ho
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Henrietta, TX
- NPI 1144236472
-
dba Clay County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Henrietta, TX
- NPI 1518023993
-
dba Clay County Memorial Hospital
- Critical Access Hospital Clinic/Center
- Henrietta, TX
- NPI 1881175776
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/claymem-34bb7bb6
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609932086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W SOUTH ST",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763653346",
"telephone_number": "940-538-5621",
"fax_number": "940-538-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W SOUTH ST",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763653346",
"telephone_number": "940-538-5621",
"fax_number": "940-538-2205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAY COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUSKEY",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CEO ADMINISTRATOR",
"authorized_official_telephone_number": "940-538-5621",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0041AX",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henrietta, 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.