NPIMap

Organization Active NPI

Childress County Hospital District

Doing business as Childress Regional Medical Center

  • Clinic/Center
  • Memphis, TX
National Provider Identifier
1477078517
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
Childress Regional Medical Center
Practice address
506 W Noel St
Memphis, TX 79245-3328
Phone
(940) 937-9178
Fax
(940) 937-9128
NPI assigned
Aug 10, 2017
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

506 W Noel St
Memphis, TX 79245-3328

Mailing address

901 US Highway 83 N
Childress, TX 79201-2320
Phone (940) 937-6371

Other identifiers 1

IdentifierTypeStateIssuer
450369OtherTXMEDICARE OSCAR

Other names 1

  • Childress Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030407000011 TX Part A Provider - Hospital 5193634111 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Childress, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477078517. Details of each certification follow.

Hospital certification: CCN 450369

Legal name
CHILDRESS COUNTY HOSPITAL DISTRICT
Doing business as
CHILDRESS REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 13, 2019
Beds
39
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
in TX
Enrollment address
901 US Highway 83 N
Childress, TX 79201-2320
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Childress Regional Medical CenterCCN 450369 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Childress County Hospital District Organization, Childress, TX Operational/Managerial Control Dec 29, 1986
Emilee Stratton Individual Corporate OfficerCfo Mar 19, 2018
W-2 Managing Employee May 7, 2014
Holly Holcomb Individual Corporate OfficerCeo May 29, 2021
W-2 Managing EmployeeNurse Apr 15, 1996

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

Practitioners & affiliated clinicians

Affiliated clinicians 65

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1477078517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 US HIGHWAY 83 N",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012320",
            "telephone_number": "940-937-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W NOEL ST",
            "city": "MEMPHIS",
            "state": "TX",
            "postal_code": "792453328",
            "telephone_number": "940-937-9178",
            "fax_number": "940-937-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "450369",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childress Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TX

Sources for this page

Verify at the official NPI Registry.