Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Other names
Tulia 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
714 S AUSTIN AVE, TULIA, TX 79088-3025
(806) 995-4810
(806) 995-2263
Mailing address
714 S AUSTIN AVE, TULIA, TX 79088-3025
(806) 995-4810
(806) 995-2263
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025489
—
TX
01
—
004559
MEDICAID VENDOR ID
TX
Enumeration date
08/29/2013
Last updated
05/24/2021
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