NPIMap

Organization Active NPI

Shackelford County Community Resource Center

  • Federally Qualified Health Center (FQHC)
  • Cross Plains, TX
National Provider Identifier
1881985299
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
30117281979 Issued in TX
Legal business name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Practice address
301 S Main St
Cross Plains, TX 76443-2581
Phone
(254) 725-4311
Fax
(254) 725-4313
NPI assigned
Apr 20, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Tina Louise Betcher
Title
Billing Manager/Credentialer
Phone
(325) 893-4010

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 25

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

View all 25

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000104 TX Part A Provider - Federally Qualified Health Center (FQHC) 8628027174 1 other NPI on this enrollment
Practice locations: Cross Plains, TX

Federally qualified health center certification: CCN 671893

Legal name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Doing business as
RESOURCECARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 7, 2008
Last certification
Jul 7, 2008
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jun 16, 1994 in TX
Enrollment address
301 S Main St
Cross Plains, TX 76443-2581

All disclosed owners & managing parties 17

Medicare enrollment files

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 Director Oct 27, 2022
Sylvia Robinson Individual Corporate Director Aug 1, 2023
Rea Barry Individual Corporate Director Nov 1, 2023
Jeanie F Stephens Individual Corporate DirectorBoard Secretary Mar 14, 2006
Ryan Wade Individual Corporate Director May 27, 2025
Joel S Deel Individual Corporate DirectorBoard Member Oct 22, 2015
William W Thompson Individual Corporate Director Oct 28, 2021
Scott Clifford Byrd Individual Corporate DirectorBoard President Jun 27, 2012
Kathleen Tippy Individual Corporate Director Oct 22, 2020
Jeff D Graham Individual Corporate DirectorBoard Treasurer Jun 25, 2015
Amy Kelly Individual Corporate DirectorBoard Member Oct 26, 2017
David Estes Individual Corporate Director Oct 27, 2022
Carrol Kanady Individual Corporate Director Dec 17, 2020
Tina L Betcher Individual W-2 Managing EmployeeBilling Manager Dec 1, 2008
Joel Johnson Individual Corporate Director Oct 27, 2022
Patrick Butler Individual Corporate DirectorCeo Nov 17, 2025
W-2 Managing EmployeeCeo Nov 17, 2025
Phillip Rodriguez Individual Corporate Director Nov 1, 2023

All facility ownership & control disclosures 2

Medicare enrollment files

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

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 30117281979 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

301 S Main St
Cross Plains, TX 76443-2581

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
214962701MedicaidTX

Other names 1

NPPES NPI Registry
  • ResourceCare Cross Plains Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2014.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1881985299",
    "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",
            "fax_number": "325-762-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "CROSS PLAINS",
            "state": "TX",
            "postal_code": "764432581",
            "telephone_number": "254-725-4311",
            "fax_number": "254-725-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BETCHER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALER",
        "authorized_official_telephone_number": "325-893-4010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "30117281979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214962701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ResourceCare Cross Plains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cross Plains, TX

Sources for this page

Verify at the official NPI Registry.