Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Other names
Coronado Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M HENDERSON (CEO)
(940) 567-6633
Entity
Organization
Contact information
Practice address
1504 W KENTUCKY AVE, PAMPA, TX 79065-3916
(806) 665-5746
(806) 665-6220
Mailing address
1504 W KENTUCKY AVE, PAMPA, TX 79065-3916
(806) 665-5746
(806) 665-6220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005049
—
TX
Enumeration date
09/03/2013
Last updated
09/03/2013
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