Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Other names
Fox Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LADONNA WILLIS (CLINIC ADMINISTRATOR)
(940) 937-3636
Entity
Organization
Contact information
Practice address
1001 HWY 83 NORTH, CHILDRESS, TX 79201-2322
(940) 937-3636
(940) 937-9644
Mailing address
PO BOX 1030, CHILDRESS, TX 79201-1030
(940) 937-3636
(940) 937-9644
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
453996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108081401
—
TX
05
—
108081402
—
TX
Enumeration date
10/12/2006
Last updated
08/06/2008
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