Organization Name: | CHILDRESS COUNTY HOSPITAL DISTRICT |
NPI Number: | 1902995525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LADONNA WILLIS (CLINIC ADMINISTRATOR) |
Mailing Address: | 1001 Hwy 83 North Childress |
State: | TX US |
Postal Code: | 792012322 |
Phone Number: | 9409373636 |
Fax Number: | 9409379644 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 453996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |