COUNTY OF CLAY
NPI 1013357953
Clinic/Center - Rural Health in Henrietta, TX

Q: What is County Of Clay's NPI number?

The NPI number for County Of Clay is 1013357953. It was assigned to this organization in the NPPES registry on June 25, 2013. The provider is doing business as CCMH Clinics.

Q: What is County Of Clay's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Q: When was this NPI record last updated?

The NPPES record for County Of Clay was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2013

102 S ARCHER ST, HENRIETTA, TX 76365(940) 538-0454(940) 235-3449 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, Aug 8, 2025, Oct 7, 2024 and 2 more (5 updates tracked since 2022).

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About County Of Clay NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTY OF CLAY (NPI 1013357953), doing business as Ccmh Clinics, is a healthcare organization registered as a rural health in Henrietta, Texas and active in the NPI registry since June 2013. The organization lists Debra Haehn, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1013357953

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCOUNTY OF CLAY

Location Address102 S ARCHER STHenrietta, TX 76365-2746

Mailing Address102 S Archer StHenrietta, TX 76365-2746 · (940) 538-0454 · Fax (940) 235-3449

Phone(940) 538-0454

Fax(940) 235-3449

Organization SubpartNo

Authorized OfficialDebra HaehnChief Financial Officer · (940) 538-5621

Enumeration DateJune 25, 2013

Last NPPES UpdateDecember 19, 20255 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1013357953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

102 S ARCHER ST, Henrietta, TX 76365

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Other Names 1

Doing Business AsCcmh Clinics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Clay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to County Of Clay, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Family Practice3

Certified Registered Nurse Anesthetist (CRNA)2

Orthopedic Surgery2

Anesthesiology1

Emergency Medicine1

General Surgery1

Nurse Practitioner1

Clinicians, nearest first (11)

Crhistian Guerrero, M.D.

Family Practice

NPI 1346686383

102 S ARCHER ST
Henrietta, TX 76365

(940) 538-0454

✔ PECOS✔ Accepts MedicareSame address

Cari Howard-Shaw, FNP B-C

Nurse Practitioner

NPI 1215532080

102 S ARCHER ST
Henrietta, TX 76365

(940) 538-0454

✔ PECOS✔ Accepts MedicareSame address

Jacob Jordan, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1598002776

501 MIDWESTERN PKWY E
Wichita Falls, TX 76302

(940) 766-8807

✔ Accepts Medicare17 mi

James Stanley, M.D.

Orthopedic Surgery

NPI 1861476681

4000 OLD JACKSBORO HWY
Wichita Falls, TX 76302

(940) 500-4048

✔ PECOS18 mi

Michael Wanamaker, M.D.

Anesthesiology

NPI 1760688915

4000 OLD JACKSBORO HWY
Wichita Falls, TX 76302

(940) 239-9136

✔ PECOS18 mi

Barry Davenport, MD

Emergency Medicine

NPI 1912468042

301 N 1ST ST BLDG 46
Altus, OK 73523

(580) 481-5230

✔ PECOS✔ Accepts Medicare85 mi

Caraleigh Buxie, MD

General Surgery

NPI 1952577546

4450 TUBBS RD
Rockwall, TX 75032

(972) 722-3290

✔ PECOS119 mi

William Vandiver, M.D.

Orthopedic Surgery

NPI 1750323630

108 E. US HWY HWY 80 SUITE 150
Forney, TX 75126

(972) 564-4444

✔ PECOS124 mi

Theodoor Hancke, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1760710149

850 HIGHWAY 243 WEST
Kaufman, TX 75142

(972) 932-7200

139 mi

Neil Berry, D.O.

Family Practice

NPI 1063512887

1600 NORTH MAIN
Lovington, NM 88260

(575) 396-6611

✔ PECOS303 mi

Margarita Castro-Zarraga, M.D.

Family Practice

NPI 1578705679

161 JACKSON ST
Lowell, MA 01852

(978) 937-9700

✔ PECOS✔ Accepts Medicare1,576 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Clay's NPI number?

The NPI number for County Of Clay is 1013357953. It was assigned to this organization in the NPPES registry on June 25, 2013. The provider is doing business as CCMH Clinics.

Where is County Of Clay located?

County Of Clay is located at 102 S Archer St, Henrietta, TX 76365. The listed phone number is (940) 538-0454.

What is County Of Clay's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is County Of Clay enrolled in Medicare?

Yes. County Of Clay is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Clay?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 7 Medicare specialties reassign their Medicare billing to County Of Clay. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Certified Registered Nurse Anesthetist (CRNA) (2) and Orthopedic Surgery (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Clay was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.