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Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Other names
Lockney Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HOLCOMB (CEO)
(940) 937-9178
Entity
Organization
Contact information
Practice address
401 NORTH MAIN STREET, LOCKNEY, TX 79241
(806) 652-3375
(806) 652-3466
Mailing address
401 NORTH MAIN STREET, LOCKNEY, TX 79241
(806) 652-3375
(806) 652-3466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025439
—
TX
01
—
004514
MEDICAID VENDOR ID
TX
Enumeration date
08/30/2013
Last updated
05/25/2021
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