| Organization Name: | CHILDRESS COUNTY HOSPITAL DISTRICT |
| NPI Number: | 1356369177 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN M HENDERSON (CEO) |
| Mailing Address: | 901 Us Highway 83 N Childress |
| State: | TX US |
| Postal Code: | 792012320 |
| Phone Number: | 9409379169 |
| Fax Number: | 9409379133 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 05/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 22153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |