Childress County Hospital District

Organization Active NPI Ambulatory Surgical Clinic/Center · Childress, TX

NPI 1013129808 · NPPES record last updated May 24, 2021

Key facts

NPI
1013129808
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
License
26 (TX)
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Practice address
Hwy 83 North
Childress, TX 79201
Phone
(940) 937-6371
Fax
(940) 937-9152
NPI assigned
May 4, 2007
Organization subpart
No

Authorized official

Name
Mrs. Holly Holcomb
Title
Ceo
Phone
(940) 937-9178

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Fox Clinic (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 26 TX Yes

Addresses

Primary practice location

Hwy 83 North
Childress, TX 79201

Mailing address

PO Box 1030
Childress, TX 79201-1030
Phone (940) 937-6371

Other identifiers

IdentifierTypeStateIssuer
109587903MedicaidTX

Other names

  • CHILDRESS REGIONAL MEDICAL CENTER Doing business as

Other providers in Childress, TX

All providers in Childress, TX · Ambulatory Surgical Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.