CONCHO COUNTY HOSPITAL (NPI# 1174625107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174625107 |
| Entity Type | Organization |
| Organization Name | CONCHO COUNTY HOSPITAL |
| Practice Address |
119 South Ellis Menard TX 76859-0889 |
| Mailing Address |
119 S Ellis Menard TX 76859-0889 |
| Practice Telephone | 3253964612 |
| Practice Fax Number | 3253962055 |
| Mailing Telephone | 3253964612 |
| Mailing Fax Number | 3253962055 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-03-17 |
| NPI Deactivation Date | 09/14/2007 |
| NPI Reactivation Date | 2007-11-30 |
| Authorized Official Name | MRS. MARY CASTANUELA (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 3258695911 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONCHO COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885016 | Concho County Hospital | Clinic/Center | 814 West Broadway Street, Eden, TX 76837-0987 | 2018-06-20 |
| 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 |
119 SOUTH ELLIS |
| City | MENARD |
| State | TX |
| Zip Code | 76859-0889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609112150 | Vicki Benton Roth | Veterinarian | 1110 Gay St, Menard, TX 76859 | 2013-01-02 |
| 1710286661 | Justin Brad Loftin | Dentist | 108 W San Saba Ave, Menard, TX 76859 | 2011-03-17 |
| 1598974909 | Barbara Hooten | Physical Therapist | 406 Wilkinson, Menard, TX 76859 | 2007-05-22 |
| 1134337520 | Crockett County Cisd | Local Education Agency (LEA) | 221 East San Saba, Menard, TX 76859 | 2007-05-18 |
| 1598973984 | Bronte Isd | Local Education Agency (LEA) | 221 East San Saba Road, Menard, TX 76859 | 2007-05-18 |
| 1053357178 | City Pharmacy of Junction Inc | Pharmacy | 119 W San Saba Ave, Menard, TX 76859 | 2006-06-20 |
| 1154539542 | Menard Independent School District | Local Education Agency (LEA) | 221 East San Saba Road, Menard, TX 76859 | 2007-05-18 |
| 1255472478 | Menard Isd | Local Education Agency (LEA) | 351 Ag Road, Menard, TX 76859-0338 | 2007-02-09 |
| 1245661289 | Eddie Lee Nixon | General Practice | 5372 Waddell Lane, Menard, TX 76859-0517 | 2013-12-02 |
| 1285617597 | Menard Manor Nursing Home | Skilled Nursing Facility | 100 Gay Street, Menard, TX 76859-0608 | 2005-11-22 |
| Find all providers in zip 76859 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.