# EASTLAND MEMORIAL HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Matlock Place Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043623200
- **Authorized official:** MR. TED D. MATTHEWS (ADMINISTRATOR)
- **Authorized official phone:** (254) 631-5342

## Contact information

- **Practice address:** 7100 MATLOCK RD, ARLINGTON, TX 76002-3402
- **Practice address phone:** (817) 466-2511
- **Mailing address:** 304 S DAUGHERTY AVE, P.O. BOX 897, EASTLAND, TX 76448-2609
- **Mailing address phone:** (254) 631-5342
- **Mailing address fax:** (254) 629-8929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1014955 | TX | Yes |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5504 | — | TX |
| 01 | — | 67-6141 | MEDICARE | TX |