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NPI Code Detail

MEDICARE: CONCHO COUNTY HOSPITAL DISTRICT

MEDICARE: CONCHO COUNTY HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility000403104TX

General Provider Information

NPI Number : 1497745723
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCHO COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1009 CLYDE ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-4225
Country : US
Telephone Number : 806-352-5295
Fax Number : 806-352-6635
Provider Business Practice Location Address
First Line : 1009 CLYDE ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-4225
Country : US
Telephone Number : 806-352-5295
Fax Number : 806-352-6635
Authorized Official
Title or Position : CEO
Name : ROBERT A PASCASIO
Credential :
Telephone Number : 325-869-5911
Provider Enumeration Date : 10/27/2005
Last Update Date : 06/01/2026

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Directions to “CONCHO COUNTY HOSPITAL DISTRICT ” Practice Location

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