# CHILDRESS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memphis Convalescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649032038
- **Authorized official:** MS. HOLLY HOLCOMB (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (940) 937-6371

## Contact information

- **Practice address:** 1415 NORTH 18TH STREET, MEMPHIS, TX 79245-2009
- **Practice address phone:** (806) 259-3566
- **Practice address fax:** (682) 257-8969
- **Mailing address:** 4150 INTERNATIONAL PLAZA, SUITE 200, FORT WORTH, TX 76109-4875
- **Mailing address phone:** (817) 348-8959
- **Mailing address fax:** (817) 348-0466

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 02/09/2024