Organization
CONCHO COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LADY (CEO)
(325) 869-5911
Entity
Organization
Contact information
Practice address
614 EAKER STREET, EDEN, TX 76837-0987
(325) 869-5911
Mailing address
614 EAKER STREET, P.O. BOX 987, EDEN, TX 76837-0987
(325) 869-5911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000202
TX
Other
Enumeration date
02/22/2007
Last updated
04/08/2019
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