Childress County Hospital District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHILDRESS COUNTY HOSPITAL DISTRICT

Practice address

401 North Main Street
Lockney, TX 79241

Phone

(806) 652-3375

Fax

(806) 652-3466

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Holly Holcomb

Title

Ceo

Phone

(940) 937-9178

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lockney Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1174957732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTH MAIN STREET",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "79241",
            "telephone_number": "806-652-3375",
            "fax_number": "806-652-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH MAIN STREET",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "79241",
            "telephone_number": "806-652-3375",
            "fax_number": "806-652-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VENDOR ID",
            "identifier": "004514",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lockney Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lockney Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agp Pharmacy LLC
• Edward George Alston
• John Benjamin Benacci, MD
• City of Lockney
• Danny Lynn Clark, R.PH.
• Krystal Lynn Delgado, , PT, DT, MAT
• Jenna Lane Everett, PA
• Rosa Gonzales, RMT

• Skilled Nursing Facility in Lockney, TX
• Providers in Lockney, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.