Provider Demographics
NPI:1740492362
Name:SCURRY COUNTY HEALTH UNIT
Entity type:Organization
Organization Name:SCURRY COUNTY HEALTH UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY HEALTH ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRUSSHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:325-573-3508
Mailing Address - Street 1:911 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-2801
Mailing Address - Country:US
Mailing Address - Phone:325-573-3508
Mailing Address - Fax:325-573-0380
Practice Address - Street 1:911 26TH ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-2801
Practice Address - Country:US
Practice Address - Phone:325-573-3508
Practice Address - Fax:325-573-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0227886-01Medicaid
TX0918997-02Medicaid
TX065093901Medicaid