NPIMap

Organization Active NPI

Concho County Hospital District

  • Skilled Nursing Facility
  • Eden, TX
National Provider Identifier
1174658025
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000202 Issued in TX
Legal business name
CONCHO COUNTY HOSPITAL DISTRICT
Practice address
614 Eaker Street
Eden, TX 76837-0987
Phone
(325) 869-5911
NPI assigned
Feb 22, 2007
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Pascasio
Title
Ceo
Phone
(325) 869-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000202 TX Primary

Addresses

Primary practice location

614 Eaker Street
Eden, TX 76837-0987

Mailing address

PO Box 987
Eden, TX 76837-0987
Phone (325) 869-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070609000101 TX Part A Provider - Critical Access Hospital 3971505298 Practice locations: Eden, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174658025. Details of each certification follow.

Hospital certification: CCN 45Z325

Legal name
CONCHO COUNTY HOSPITAL DISTRICT
Doing business as
CONCHO COUNTY HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
614 Eaker Street
Eden, TX 76837-0987
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Concho County Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert a Pascasio Individual Corporate DirectorInterim Ceo Aug 27, 2024
Operational/Managerial ControlInterim Ceo Aug 27, 2024
Deborah S Fort Individual W-2 Managing EmployeeIt Manager Jun 2, 2024
Elizabeth P Ruiz Individual W-2 Managing EmployeeCredentials Manager Aug 19, 2024
Concho County Hospital District Organization, Eden, TX Non-profit Operational/Managerial Control Dec 1, 2006

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Concho County HospitalEden, TX, CCN 451325 Hospital Operational/Managerial Control Nov 1, 2006
Concho Medical ClinicEden, TX, CCN 673487 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 12, 2019
Jun 28, 2004

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1174658025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAKER STREET",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "PASCASIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-869-5911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "000202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, TX

Sources for this page

Verify at the official NPI Registry.