COUNTY OF CLAY
NPI 1639340748
Surgery in Henrietta, TX

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

The NPI number for County Of Clay is 1639340748. It was assigned to this organization in the NPPES registry on March 17, 2008. The provider is doing business as Clay County Memorial Hospital.

Q: What is County Of Clay's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for County Of Clay was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 17, 2008

310 W SOUTH ST, HENRIETTA, TX 76365(940) 235-1202(940) 235-1215 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2026, Nov 20, 2025, Nov 6, 2025 and 1 more (4 updates tracked since 2023).

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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 1639340748), doing business as Clay County Memorial Hospital, is a healthcare organization registered as a surgery in Henrietta, Texas and active in the NPI registry since March 2008. The organization lists Bob Steven Ellzey, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1639340748

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCOUNTY OF CLAY

Location Address310 W SOUTH STHenrietta, TX 76365-3346

Mailing Address310 W South StHenrietta, TX 76365-3346 · (940) 235-1202 · Fax (940) 235-1215

Phone(940) 235-1202

Fax(940) 235-1215

Organization SubpartNo

Authorized OfficialBob Steven EllzeyInterim Ceo · (940) 235-1200

Enumeration DateMarch 17, 2008

Last NPPES UpdateApril 13, 20264 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1639340748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

310 W SOUTH ST, Henrietta, TX 76365

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Other Names 1

Doing Business AsClay County Memorial Hospital

Other Identifiers 2

Medicaid094138703TX

Medicaid094138701TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10 clinicians reassign Medicare billing to County Of Clay, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)2

Family Practice2

Orthopedic Surgery2

Anesthesiology1

Emergency Medicine1

General Surgery1

Nurse Practitioner1

Clinicians, nearest first (10)

Crhistian Guerrero, M.D.

Family Practice

NPI 1346686383

102 S ARCHER ST
Henrietta, TX 76365

(940) 538-0454

✔ PECOS✔ Accepts Medicare55 mi

Cari Howard-Shaw, FNP B-C

Nurse Practitioner

NPI 1215532080

102 S ARCHER ST
Henrietta, TX 76365

(940) 538-0454

✔ PECOS✔ Accepts Medicare55 mi

Jacob Jordan, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1598002776

501 MIDWESTERN PKWY E
Wichita Falls, TX 76302

(940) 766-8807

✔ Accepts Medicare63 mi

Michael Wanamaker, M.D.

Anesthesiology

NPI 1760688915

4000 OLD JACKSBORO HWY
Wichita Falls, TX 76302

(940) 239-9136

✔ PECOS63 mi

James Stanley, M.D.

Orthopedic Surgery

NPI 1861476681

4000 OLD JACKSBORO HWY
Wichita Falls, TX 76302

(940) 500-4048

✔ PECOS63 mi

Caraleigh Buxie, MD

General Surgery

NPI 1952577546

4450 TUBBS RD
Rockwall, TX 75032

(972) 722-3290

✔ PECOS94 mi

William Vandiver, M.D.

Orthopedic Surgery

NPI 1750323630

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

(972) 564-4444

✔ PECOS95 mi

Theodoor Hancke, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1760710149

850 HIGHWAY 243 WEST
Kaufman, TX 75142

(972) 932-7200

107 mi

Barry Davenport, MD

Emergency Medicine

NPI 1912468042

301 N 1ST ST BLDG 46
Altus, OK 73523

(580) 481-5230

✔ PECOS✔ Accepts Medicare132 mi

Margarita Castro-Zarraga, M.D.

Family Practice

NPI 1578705679

161 JACKSON ST
Lowell, MA 01852

(978) 937-9700

✔ PECOS✔ Accepts Medicare1,598 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 1639340748. It was assigned to this organization in the NPPES registry on March 17, 2008. The provider is doing business as Clay County Memorial Hospital.

Where is County Of Clay located?

County Of Clay is located at 310 W South St, Henrietta, TX 76365. The listed phone number is (940) 235-1202.

What is County Of Clay's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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), 10 clinicians reassign their Medicare billing to County Of Clay, in Anesthesiology, Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine, Family Practice, General Surgery and 2 other specialties. 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. 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 April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.