Provider Demographics
NPI:1013357953
Name:COUNTY OF CLAY
Entity type:Organization
Organization Name:COUNTY OF CLAY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-538-5621
Mailing Address - Street 1:102 S ARCHER ST
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:TX
Mailing Address - Zip Code:76365-2746
Mailing Address - Country:US
Mailing Address - Phone:940-538-5621
Mailing Address - Fax:
Practice Address - Street 1:412 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:TX
Practice Address - Zip Code:76365-3348
Practice Address - Country:US
Practice Address - Phone:940-538-0454
Practice Address - Fax:940-235-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty