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SHACKELFORD COUNTY HEALTH CLINIC
NPI 1184942799
Family Medicine in Albany, TX

Active since May 06, 2010
450 KENSHALO ST, ALBANY, TX 76430(325) 762-3661(325) 762-3859 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2020, Dec 5, 2019 (2 updates tracked since 2019).

About Shackelford County Health Clinic NPPES

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

SHACKELFORD COUNTY HEALTH CLINIC (NPI 1184942799) is a healthcare organization registered as a family medicine in Albany, Texas and active in the NPI registry since May 2010. The organization lists Brandi Green, District Administrator, as its authorized official.

NPPES Registry Identity

NPI1184942799
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHACKELFORD COUNTY HEALTH CLINIC
Location Address450 KENSHALO STAlbany, TX 76430-3218
Mailing AddressPo Box 2470Albany, TX 76430 · (325) 762-3661 · Fax (325) 762-3859
Phone(325) 762-3661
Fax(325) 762-3859
Organization SubpartNo
Authorized OfficialBrandi GreenDistrict Administrator · (325) 762-3661
Enumeration DateMay 6, 2010
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1184942799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

450 KENSHALO ST, Albany, TX 76430
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Other Identifiers 3

Other0071TQTX · Bcbs
Other10135791TX · United Healthcare
Medicaid220311901TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2010421

Shackelford County Health Clinic Corg · Albany, TX
Expired · Jul 26, 2026
CLIA Number45D2010421
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorNeil Gibson
Laboratory Phone(325) 762-3661
Laboratory LocationShackelford County Health Clinic Corg450 Kenshalo, Albany, TX 76430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC L NEAL RPH
Pharmacist (Ambulatory Care)
450 KENSHALO ST
ALBANY, TX 76430
Shackelford County (325) 762-3979
CLAIRE WARE FNP-C
Nurse Practitioner (Family)
450 KENSHALO ST
ALBANY, TX 76430
Shackelford County (325) 762-3661
RAY NEIL GIBSON DO
Family Medicine
450 KENSHALO ST
ALBANY, TX 76430
Shackelford County (325) 762-3661

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 Shackelford County Health Clinic's NPI number?

The NPI number for Shackelford County Health Clinic is 1184942799. It was assigned to this organization in the NPPES registry on May 6, 2010.

Where is Shackelford County Health Clinic located?

Shackelford County Health Clinic is located at 450 Kenshalo St, Albany, TX 76430. The listed phone number is (325) 762-3661.

What is Shackelford County Health Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Shackelford County Health Clinic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Shackelford County Health Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shackelford County Health Clinic was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.