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Childress County Hospital District

Organization Active NPI Skilled Nursing Facility · Clarendon, TX

NPI 1275947178 · NPPES record last updated Jun 18, 2014

Key facts

NPI
1275947178
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Practice address
Ten Medical Center Drive
Clarendon, TX 79226
Phone
(806) 874-5221
Fax
(806) 874-5619
NPI assigned
Jun 18, 2014
Organization subpart
No

Authorized official

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

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
Skilled Nursing Facility 314000000X Yes

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

IdentifierTypeStateIssuer
004918MedicaidTX

Other names

  • Clarendon Residence and Rehabilitation Center Doing business as

Other providers in Clarendon, TX

All providers in Clarendon, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.