Clay County Memorial Hospital
Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · Henrietta, TX
NPI 1609932086 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609932086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeff Huskey
- Title
- Ceo Administrator
- Phone
- (940) 538-5621
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Clay County Memorial Hospital
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/claymem-34bb7bb6
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041AX | Other | TX | BLUE CROSS BLUE SHIELD |
Other providers in Henrietta, TX
- Wes Bailey
- Angela Marie Belcher
- Kathy Lynn Benz
- Sue Ann Berend
- Clay County Hospital DME
- Clay County Memorial Hospital
- County of Clay
- County of Clay
- County of Clay
- County of Clay
All providers in Henrietta, TX · Emergency Medical Services (Emergency Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.