CONCHO COUNTY HOSPITAL (NPI# 1851885016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851885016 |
| Entity Type | Organization |
| Organization Name | CONCHO COUNTY HOSPITAL |
| Other Organization Name | CONCHO MEDICAL CLINIC |
| Practice Address |
814 West Broadway Street Eden TX 76837-0987 |
| Mailing Address |
Po Box 987 Eden TX 76837-0987 |
| Practice Telephone | 3258695911 |
| Practice Fax Number | 3258695218 |
| Mailing Telephone | 3258695911 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | BRIAN LADY (CEO) |
| Authorized Official Telephone | 3258695911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concho Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1326025701 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Eden, TX 76837-0987 | 2005-12-28 |
| 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 |
814 WEST BROADWAY STREET |
| City | EDEN |
| State | TX |
| Zip Code | 76837-0987 |
| 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 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| 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 |
| Find all providers in zip 76837 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972678142 | Concho County Rural Health Clinic | Clinic/Center | 13 South Main Street, Eden, TX 76837-0987 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| 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.