CONCHO COUNTY HOSPITAL NPI 1174658025

NPI Information

  • NPI: 1174658025
  • Provider Name: CONCHO COUNTY HOSPITAL
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • CLIA Number: 45D0488908
  • Address: 614 EAKER STREET
    EDEN, TX
    ZIP 76837
  • Phone: (325) 869-5911

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NPI Details

CONCHO COUNTY HOSPITAL is a skilled nursing facility in Eden, TX. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. CONCHO COUNTY HOSPITAL NPI is 1174658025. The provider is registered as an organization entity type.

The provider's business location address is:

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

The provider's authorized official is Brian Lady .
The authorized official title is Ceo and has the following contact phone number (325) 869-5911.

The CLIA number assigned to this NPI record is 45D0488908 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 4/8/2019.

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
1314000000XSkilled Nursing Facility000202TEXASYes

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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