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CONCHO COUNTY HOSPITAL NPI 1134166226


NPI Information

NPI: 1134166226
Provider Name: CONCHO COUNTY HOSPITAL

Other Name: OUTPATIENT PHYSCIANS

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
614 EAKER STREET
BOX 987
EDEN, TX
ZIP 76837
Phone: (325) 869-5911
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CONCHO COUNTY HOSPITAL is a critical access general acute care hospital in Eden, TX. CONCHO COUNTY HOSPITAL NPI is 1134166226. The provider is registered as an organization entity type.
The provider Other Name Is Outpatient Physcians.

The provider's business location address is:

614 EAKER STREET
BOX 987
EDEN, TX
ZIP 76837-987
Phone: (325) 869-5911
Fax: (325) 869-5911

The provider's authorized official is Robert Otto Martin .
The authorized official title is Chief Of Staff and has the following contact phone number (325) 869-5911.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 9/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NC0060XGeneral Acute Care HospitalCritical Access000202TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100650RMEDICARE OSCAR/CERTIFICATIONTEXAS
2451325MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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