# CHILDRESS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarendon Residence and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275947178
- **Authorized official:** MR. JOHN M HENDERSON (CEO)
- **Authorized official phone:** (940) 937-6371

## Contact information

- **Practice address:** TEN MEDICAL CENTER DRIVE, CLARENDON, TX 79226
- **Practice address phone:** (806) 874-5221
- **Practice address fax:** (806) 874-5619
- **Mailing address:** TEN MEDICAL CENTER DRIVE, CLARENDON, TX 79226
- **Mailing address phone:** (806) 874-5221
- **Mailing address fax:** (806) 874-5619

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004918 | — | TX |