Organization
CONCHO COUNTY HOSPITAL
Active
Other names
Concho Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LADY (CEO)
(325) 869-5911
Entity
Organization
Contact information
Practice address
814 WEST BROADWAY STREET, EDEN, TX 76837-0987
(325) 869-5911
(325) 869-5218
Mailing address
PO BOX 987, EDEN, TX 76837-0987
(325) 869-5911
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
03/17/2020
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