# CHILDRESS COUNTY HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1174957732
- **Authorized official:** HOLLY HOLCOMB (CEO)
- **Authorized official phone:** (940) 937-9178

## Contact information

- **Practice address:** 401 NORTH MAIN STREET, LOCKNEY, TX 79241
- **Practice address phone:** (806) 652-3375
- **Practice address fax:** (806) 652-3466
- **Mailing address:** 401 NORTH MAIN STREET, LOCKNEY, TX 79241
- **Mailing address phone:** (806) 652-3375
- **Mailing address fax:** (806) 652-3466

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2013
- **Last updated:** 05/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025439 | — | TX |
| 01 | — | 004514 | MEDICAID VENDOR ID | TX |