NPIMap

Organization Active NPI

Concho County Hospital

  • Skilled Nursing Facility
  • Kingsland, TX
National Provider Identifier
1629610100
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CONCHO COUNTY HOSPITAL
Practice address
3727 W Ranch Road 1431
Kingsland, TX 78639-3244
Phone
(325) 388-4538
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Brian Lady
Title
Ceo
Phone
(325) 869-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3727 W Ranch Road 1431
Kingsland, TX 78639-3244

Mailing address

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

Other names 1

  • Kingsland Hills Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concho County Hospital District3 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.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1629610100",
    "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": "3727 W RANCH ROAD 1431",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786393244",
            "telephone_number": "325-388-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "LADY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-869-5911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsland Hills Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.