NPIMap

Organization Active NPI

Childress County Hospital District

Doing business as CRMC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Childress, TX
National Provider Identifier
1174625362
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
CRMC
Practice address
910 Rear Oak Lane
Childress, TX 79201
Phone
(940) 937-7099
Fax
(940) 937-8730
NPI assigned
Sep 1, 2006
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

910 Rear Oak Lane
Childress, TX 79201

Mailing address

PO Box 1030
Childress, TX 79201-1030
Phone (940) 937-7099

Other names 1

  • CRMC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000503 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 5193634111 Practice locations: Childress, TX

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Childress Regional Medi26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

910 Oak Ln
Rear
Childress, TX 79201
Phone (940) 937-7099

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Childress Regional Medical CenterChildress, TX, CCN 450369 Hospital Operational/Managerial Control Dec 29, 1986
Avir at ChildressChildress, TX, CCN 675055 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2014
Prairie House Living CenterPlainview, TX, CCN 675478 Skilled nursing facility Operational/Managerial Control Sep 1, 2014
Ralls Nursing HomeRalls, TX, CCN 675407 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Apex Secure Care BrownfieldBrownfield, TX, CCN 675019 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Dec 1, 2014
Jan 23, 2025
Landmark of Amarillo Rehabilitation and Nursing CenterAmarillo, TX, CCN 455675 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Villa Haven Health and Rehabilitation CenterBreckenridge, TX, CCN 675279 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Crowell Nursing CenterCrowell, TX, CCN 675013 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Willowcreek Rehab and NursingAbilene, TX, CCN 675350 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Matador Health and Rehabilitation CenterMatador, TX, CCN 676389 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Wellington Care CenterWellington, TX, CCN 675945 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Memphis Convalescent CenterMemphis, TX, CCN 675970 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Childress Regional Medical Center Home HealthChildress, TX, CCN 457489 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 31, 1983
Childress Regional Medical Center HospiceChildress, TX, CCN 451658 Hospice Operational/Managerial Control (100%) Nov 13, 1996
Fox Rural Health ClinicChildress, TX, CCN 453996 Rural health clinic Operational/Managerial Control Jun 25, 2008

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1174625362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792011030",
            "telephone_number": "940-937-7099",
            "fax_number": "940-937-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 REAR OAK LANE",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "79201",
            "telephone_number": "940-937-7099",
            "fax_number": "940-937-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-937-9178",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Childress, TX

Sources for this page

Verify at the official NPI Registry.