CONCHO COUNTY HOSPITAL (NPI# 1326025701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326025701 |
| Entity Type | Organization |
| Organization Name | CONCHO COUNTY HOSPITAL |
| Practice Address |
614 Eaker St. Eden TX 76837-0987 |
| Mailing Address |
614 Eaker Street Eden TX 76837 |
| Practice Telephone | 3258695911 |
| Practice Fax Number | 3258695218 |
| Mailing Telephone | 3258695911 |
| Mailing Fax Number | 3258695218 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | MR. BRIAN LADY (CEO) |
| Authorized Official Telephone | 3258695911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 091770006 | 05 | |
| TX | BLUE CROSS DOCTOR GROUP | 0073GN | 01 |
| TX | 091770007 | 05 | |
| TX | ALL COMMERCIAL INS. | 451325 | 01 |
| TX | BLUE CROSS HOSPITAL | HH0527 | 01 |
| TX | 091770005 | 05 | |
| TX | SUPERIOR | 116205 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885016 | Concho County Hospital | Clinic/Center | 814 West Broadway Street, Eden, TX 76837-0987 | 2018-06-20 |
| 1174625107 | Concho County Hospital | Clinic/Center | 119 South Ellis, Menard, TX 76859-0889 | 2006-09-01 |
| 1134166226 | Concho County Hospital | General Acute Care Hospital | 614 Eaker Street, Box 987, Eden, TX 76837-0987 | 2006-05-31 |
| 1629610100 | Concho County Hospital | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2019-10-16 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| 1174658025 | Concho County Hospital | Skilled Nursing Facility | 614 Eaker Street, Eden, TX 76837-0987 | 2007-02-22 |
| Street Address |
614 EAKER ST. |
| City | EDEN |
| State | TX |
| Zip Code | 76837-0987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497579 | Girly Orlando Tubayan | Physical Therapy Assistant | 613 Eaker Street, Eden, TX 76837 | 2018-05-18 |
| 1134252570 | City of Eden | Ambulance | 102 Gordon St., Eden, TX 76837 | 2007-03-14 |
| 1700862166 | Pedro Castro | General Practice | 551 Eaker Street, Eden, TX 76837 | 2005-12-19 |
| 1710989595 | Provider Healthcare Services of Concho Lp | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2005-08-11 |
| 1649815283 | Jakalyn Jane Gossett | Physician Assistant | 614 Eaker St, Eden, TX 76837 | 2019-11-07 |
| 1265883540 | Tonya Rochelle Boyett | Social Worker | 551 Eaker Street, Frontera Healthcare Network, Eden, TX 76837 | 2016-06-28 |
| 1447403118 | Eden II Enterprises, LLC | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2008-10-28 |
| 1477855013 | Eden Ems Inc | Ambulance | 102 Gordon St, Eden, TX 76837-0000 | 2010-12-02 |
| 1205375037 | Frontera Healthcare Network | Clinic/Center | 212 Jackson Street, Eden, TX 76837-0246 | 2017-02-13 |
| 1861510927 | Dalyn J Johnson | Dentist | 212 Jackson St., Eden, TX 76837-0246 | 2007-03-27 |
| Find all providers in zip 76837 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134166226 | Concho County Hospital | General Acute Care Hospital | 614 Eaker Street, Box 987, Eden, TX 76837-0987 | 2006-05-31 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.