| Organization Name: | CONCHO COUNTY HOSPITAL |
| NPI Number: | 1134166226 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT OTTO MARTIN (CHIEF OF STAFF) |
| Mailing Address: | 614 Eaker Street Box 987 Eden |
| State: | TX US |
| Postal Code: | 768370987 |
| Phone Number: | 3258695911 |
| Fax Number: | 3258695911 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 09/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 000202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |