NPIMap

Organization Active NPI

Childress County Hospital District

Doing business as Clarendon Residence and Rehabilitation Center

  • Skilled Nursing Facility
  • Clarendon, TX
National Provider Identifier
1275947178
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
Clarendon Residence and Rehabilitation Center
Practice address
Ten Medical Center Drive
Clarendon, TX 79226
Phone
(806) 874-5221
Fax
(806) 874-5619
NPI assigned
Jun 18, 2014
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Mr. John M Henderson
Title
Ceo
Phone
(940) 937-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

Ten Medical Center Drive
Clarendon, TX 79226

Mailing address

Ten Medical Center Drive
Clarendon, TX 79226
Phone (806) 874-5221

Other identifiers 1

IdentifierTypeStateIssuer
004918MedicaidTX

Other names 1

  • Clarendon Residence and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fox Rural Health Center26 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

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1275947178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEN MEDICAL CENTER DRIVE",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "79226",
            "telephone_number": "806-874-5221",
            "fax_number": "806-874-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEN MEDICAL CENTER DRIVE",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "79226",
            "telephone_number": "806-874-5221",
            "fax_number": "806-874-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-937-6371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004918",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarendon Residence and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarendon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.