CONCHO COUNTY HOSPITAL NPI 1174625107

NPI Information

NPI: 1174625107
Provider Name: CONCHO COUNTY HOSPITAL
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Address: 119 SOUTH ELLIS
MENARD, TX
ZIP 76859
Phone: (325) 396-4612

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NPI Details

CONCHO COUNTY HOSPITAL is a rural health clinic center in Menard, TX. CONCHO COUNTY HOSPITAL NPI is 1174625107. The provider is registered as an organization entity type.

The provider's business location address is:

119 SOUTH ELLIS
MENARD, TX
ZIP 76859-889
Phone: (325) 396-4612
Fax: (325) 396-2055

The provider's authorized official is Mary Castanuela .
The authorized official title is Assistant Administrator and has the following contact phone number (325) 869-5911.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 3/17/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	673839	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	RURAL HEALTH CLINIC

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: 11/21/2025

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